What are the indications of an open inguinal hernia repair?

Updated: Jan 17, 2018
  • Author: Vinay Kumar Kapoor, MBBS, MS, FRCS, FAMS; Chief Editor: Kurt E Roberts, MD  more...
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Answer

The existence of an inguinal hernia has traditionally been considered sufficient reason for operative intervention. However, the following considerations should be taken into account:

  • Some studies have shown that the presence of a reducible hernia is not, in itself, an indication for surgery and that the risk of incarceration is less than 1%
  • Symptomatic patients should undergo repair
  • Even asymptomatic patients who are medically fit should be offered surgical repair
  • Because of the higher frequency of femoral hernias in women, procedures that provide coverage of the femoral space (eg, laparoscopic repair) at the time of initial operation may be better suited for women as primary repairs

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