Inguinal hernia

Alternative names:

hernia - inguinal

Treatment:

An inguinal hernia can often be pushed back into the abdominal cavity. However, if it cannot be forced back through the abdominal wall, the herniated bowel may become trapped in the inguinal ring or strangulated. Without treatment, the strangulated loop of intestine dies, because its blood supply is compromised. Surgery to reposition the loop of intestine and secure the weakened muscles in the abdomen is usually indicated.

MEDICATIONS:
There are no medications to treat inguinal hernias, however, medications may be prescribed to manage the pain associated with surgical repair.

SURGERY:
Hernia repair is performed as an outpatient procedure using local or general anesthesia. An incision is made over the inguinal area, and the segment of bowel is placed back into the abdominal cavity. The muscle and fascia are stitched closed to repair the hernia. You will return from surgery with a large dressing over the surgical site. This dressing will remain in place for a day or two. Potential complications of this procedure include infection and abscess formation.

OTHER THERAPY:
A corset or a truss is not a treatment for a hernia, because the loop of intestine can still become strangulated. Occasionally a corset or support may be used after surgery to support weak muscles during recovery.

Expectations (prognosis):

The outcome is expected to be good with treatment.

Complications:

A strangulated intestine can result in gangrene, a life-threatening condition requiring emergency surgery.

Calling your health care provider:

Go to the emergency room or call the local emergency number (such as 911) if a hernia cannot be reduced or pushed back into the abdomen by gentle pressure, or if nausea and vomiting other new symptoms develop in a person with a hernia.