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26/05/2020
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23/05/2020
A new case
Right Irreducible Inguinal Hernia"
The main complications of an inguinal hernia are incarceration, strangulation, and obstruction.
The serious complications of a hernia that require urgent intervention are:
Irreducible / incarcerated — the contents of the hernia are unable to return to their original cavity Obstruction — the bowel lumen has become obstructed, leading to the clinical features of bowel obstruction Strangulation — compression of the hernia has compromised the blood supply, leading to the bowel becoming ischaemic A strangulated hernia is a surgical emergency, due to the time dependent risk of bowel infarction.
The diagnosis is typically a clinical one and requires urgent surgical exploration; due to the time critical nature of the condition, rarely will further imaging be requested.
The specific management for strangulated hernia will vary depending on the type of hernia involved. Mortality is much higher in emergency cases compared to elective operations for all hernia.
Post-operative complications of hernia repair include: -Pain, bruising, haematoma, infection, or urinary retention -Recurrence, approximately 1.0% within 5 years of surgery -Chronic pain (persisting 3 months after hernia repair), can occur in up to 30% patients and is disabling in —2% -Damage to vas deferens or testicular vessels, leading to ischaemic orchitis (and potentially sub-fertility)
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