When is hernia reduction indicated?

Updated: Sep 14, 2018
  • Author: Ajita R Shah, MD; Chief Editor: Kurt E Roberts, MD  more...
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Answer

The presence of a nonstrangulated hernia is an indication for manual reduction. [7] Although an incarcerated hernia can be strangulated without the usual signs and symptoms of strangulation, reduction should be performed for most incarcerated hernias when clinical evidence of strangulation is not present.

Although strangulation can be missed, [8] one prospective study showed that clinicians are usually correct in deciding when to reduce an incarcerated hernia and when to defer reduction of a strangulated hernia. [9] In addition, harmful outcomes to attempted reduction are unlikely in these unrecognized strangulated hernias.


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