When should a surgeon be consulted for repair of an abdominal hernia?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Hernia reduction or repair may be carried out, depending on the type of hernia and on whether incarceration is present (see below). Reduction can often be carried out in the emergency department (ED), but a surgeon should be consulted for the following reasons [30, 6] :

  • Inability to reduce the hernia
  • Concern for a strangulated bowel and a patient with a toxic appearance; all incarcerated or strangulated hernias demand admission and immediate surgical evaluation
  • Comorbid risks for sedation; patients with such risks should have a surgeon present for the initial reduction attempt

Surgical options depend on the type and location of the hernia.


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