Which types of abdominal hernias should be repaired due to the risk of incarceration?

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

Painful preperitoneal fat in an epiplocele or paraumbilical hernia may be incarcerated. Because these defects will not close spontaneously and a propensity exists for painful strangulation, elective outpatient repair is recommended.

Because of the potential for incarceration, spigelian hernias should be repaired, as should interparietal, supravesical, lumbar, obturator, sciatic, and perineal hernias. Notably, strangulation can occur in a Richter hernia without evidence of incarceration or obstruction.


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