What are the contraindications 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

Inguinal hernia repair has no absolute contraindications. However, the following considerations should be taken into account:

  • Any medical issues should be fully addressed beforehand and the operation delayed accordingly
  • Patients with elevated American Society of Anesthesiologists (ASA) scores and high operative risk should undergo a full preoperative workup and determination of the risk-to-benefit ratio
  • Recurrences after a primary posterior technique may be treated with Lichtenstein hernioplasty; recurrences after a primary anterior technique should be treated with TEP, TAPP, or open posterior repair
  • Asymptomatic reducible direct inguinal hernia in an elderly patient with multiple uncontrollable comorbidities and an elevated ASA score does not require repair and may be left alone for close observation and follow-up

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