Management of Strangulated Inguinal Hernia

Abstract

Strangulated inguinal hernia occurs when part of the hernia becomes irreducible and subsequently causes bowel ischemia secondary to a reduction in blood flow to the hernia. Therefore, management strategy differs and depends on the presentation of the hernia, duration, patient, and surgical factors. One thing is for sure: conservative management is not recommended for a strangulated inguinal hernia, as it always requires surgical intervention. Among others are diagnostic laparoscopy, open hernioplasty with the hybrid technique, and laparotomy followed by inguinal herniorrhaphy. Eventually, the outcome of the surgery has to be considered while managing strangulated inguinal hernia cases. Prompt diagnosis and management are required to reduce the morbidity and mortality associated with strangulated inguinal hernias.