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Incarcerated and Strangulated Hernia

  • Justin A. Doble
  • Eric M. PauliEmail author
Chapter

Abstract

A patient presenting with an acutely incarcerated hernia is a common consultation in general surgery. This algorithm provides an evidence-based approach for the management and (when needed) acute operative repair for incarcerated hernias. However, bedside reduction can be attempted for early presentation without skin changes and biochemical abnormalities. When successful, close clinical observation is necessary to ensure the underlying herniated bowel was not compromised. If bedside reduction is unsuccessful or not possible, this algorithm will help to identify the optimal approach for both incarcerated ventral and inguinal hernias.

Keywords

Incarcerated ventral hernia Incarcerated inguinal hernia Strangulated inguinal hernia Strangulated ventral hernia Bedside reduction of hernia Acute hernia repair 

References

  1. 1.
    Harissis HV, Douitsis E, Fatouros M. Incarcerated hernia: to reduce or not to reduce? Hernia. 2009;13(3):263–6.CrossRefGoogle Scholar
  2. 2.
    Tanaka K, Hanyu N, Iida T, et al. Lactate levels in the detection of preoperative bowel strangulation. Am Surg. 2012;78(1):86–8.PubMedGoogle Scholar
  3. 3.
    Kauffman HM Jr, O’Brien DP. Selective reduction of incarcerated inguinal hernia. Am J Surg. 1970;119(6):660–73.CrossRefGoogle Scholar
  4. 4.
    Sajid MS, Ladwa N, Colucci G, Miles WF, Baig MK, Sains P. Diagnostic laparoscopy through deep inguinal ring: a literature-based review on the forgotten approach to visualize the abdominal cavity during emergency and elective groin hernia repair. Surg Laparosc Endosc Percutan Tech. 2013;23(3):251–4.CrossRefGoogle Scholar
  5. 5.
    Slater NJ, van Goor H, Bleichrodt RP. Large and complex ventral hernia repair using “components separation technique” without mesh results in a high recurrence rate. Am J Surg. 2015;209(1):170–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryPenn State Milton S. Hershey Medical CenterHersheyUSA

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