What are contraindications for 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. Just as in any other elective surgical procedure, the patient's medical status must be optimized. Any medical issues (eg, upper respiratory tract or skin infection, poorly controlled diabetes mellitus, chronic constipation, urinary obstruction, persisting cough, obstruction or strangulation, or allergy to local anesthesia or prosthetic devices) should be fully addressed 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 (eg, TEP, TAPP, or open posterior repair) may be treated with Lichtenstein hernioplasty. [5] Recurrence after a primary anterior technique should preferably be dealt with by means of TEP, TAPP, or open posterior repair.


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