What are the possible complications in hernia reduction?

Updated: Apr 16, 2020
  • Author: Ajita R Shah, MD; Chief Editor: Kurt E Roberts, MD  more...
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Manual reduction can be complicated by worsened pain secondary to pressure and manipulation.

A reduction en masse, by which the existing peritoneal sac and constricting neck are reduced into the abdomen without relieving the constriction, is a serious complication. [26, 27, 28]  In such a case, the bowel progresses to obstruction and strangulation despite apparent reduction. [29]  The occult nature of reduction en masse may lead to delayed or missed diagnosis.

If strangulation is not recognized, gangrenous bowel can be reduced, which leads to peritonitis and sepsis. [7]

Retroperitoneal hematoma resulting from manual reduction of an indirect inguinal hernia has been reported. [30]

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