What are the indications for elective and acute repair of abdominal hernias?

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

A retrospective, single-institution study reported that patients with femoral, scrotal, and recurrent hernias, as well as patients of advanced age, are more likely to undergo acute hernia repair versus elective hernia repair. [32] Acute hernia repair reportedly has a higher morbidity and lower survival rates than elective hernia repair does.

Contagious disease, diaper rash, nearby open wounds, an upper respiratory tract illness, or other intercurrent illness should delay an elective procedure; other delays probably increase the risks of operative complications. In cases where the risk of operation exceeds that of potential problems from the hernia, nonoperative observation is wise.


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