play_arrow

keyboard_arrow_right

skip_previous play_arrow skip_next
00:00 00:00
playlist_play chevron_left
volume_up
chevron_left
play_arrow

Featured

Inguinal Hernia

Dr Swapnil Pawar July 26, 2021 29


Background
share close
  • cover play_arrow

    Inguinal Hernia
    Dr Swapnil Pawar

Inguinal hernia

Blog Written by Dr Hyreim Suh

Irreducible Inguinal Hernia 

Definition of an inguinal hernia 

  • Protrusion of abdominal or pelvic contents through an inguinal ring or inguinal floor into the inguinal canal 

Diagnosis 

  • Diagnosis normally made clinically 
  • However, investigations to consider include ultrasound, CT or MRI (for occult hernias) 

Treatment algorithm a hernia 

  • Strangulated hernia 
    • Urgent surgical repair, normally open 
    • Mesh repair is indicated if the bowel is viable, but if the bowel was resected mesh should not be used 
    • Supportive management includes fluid resuscitation, insertion of a nasogastric tube, IDC insertion for accurate fluid balance
  • Asymptomatic hernia 
    • Monitoring until the hernia becomes symptomatic and warrants surgical repair 
  • Symptomatic or large hernia 
    • Open or laparoscopic elective hernia repair if the patient is an appropriate surgical candidate 

 

References 

Inguinal hernia in adults, BMJ practice, https://bestpractice.bmj.com.acs.hcn.com.au/topics/en-gb/723 

Rate it
Previous episode
Acute Pericarditis
Medspresso Podcast
play_arrow
share playlist_add
close
  • 178

Featured

Acute Pericarditis

Dr Swapnil Pawar July 19, 2021

Pericarditis Blog written by – Dr Andrew Lam play_arrow Acute Pericarditis Dr Swapnil Pawar High-Risk Features that May Require Admission: Fever > 38°C The sub-Acute course of symptoms, progressing over […]

Read more trending_flat

Similar episodes