Inguinal Hernia

 
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    Inguinal Hernia
    Dr Swapnil Pawar

Inguinal hernia

Blog Written by Dr Hyreim Suh

Irreducible Inguinal Hernia

Definition of an inguinal hernia

  • Protrusion of abdominal or pelvic contents through an inguinal ring or inguinal floor into the inguinal canal

Diagnosis

  • Diagnosis normally made clinically
  • However, investigations to consider include ultrasound, CT or MRI (for occult hernias)

Treatment algorithm a hernia

  • Strangulated hernia
    • Urgent surgical repair, normally open
    • Mesh repair is indicated if the bowel is viable, but if the bowel was resected mesh should not be used
    • Supportive management includes fluid resuscitation, insertion of a nasogastric tube, IDC insertion for accurate fluid balance
  • Asymptomatic hernia
    • Monitoring until the hernia becomes symptomatic and warrants surgical repair
  • Symptomatic or large hernia
    • Open or laparoscopic elective hernia repair if the patient is an appropriate surgical candidate

References

Inguinal hernia in adults, BMJ practice, https://bestpractice.bmj.com.acs.hcn.com.au/topics/en-gb/723

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