Adults need to have
inguinal hernia repair surgery in the following
Hernias that contain a loop of intestine without
blood supply (strangulated hernias) require emergency
Hernias that contain a trapped loop of intestine (incarcerated hernias) need to be repaired as soon as
possible to avoid strangulation. Surgery may be scheduled when it is convenient
if strangulation does not appear likely.
In healthy adults, hernias
that can be pushed back into the abdomen and are not causing discomfort or pain
can be repaired when it is convenient. In some cases small, painless hernias
may never need to be repaired.
The following people may not be able to have hernia surgery or may
choose not to have surgery.
People with chronic illnesses may decide against
surgery if hernias are not incarcerated or strangulated. It usually is
appropriate to repair a hernia. But a balance of length of life, how much the
hernia is bothering you, and your wishes will be taken into
cirrhosis often have fluid in the abdomen (ascites)
that increases abdominal pressure and causes the hernia to recur after it is
repaired. Some surgeons advise people with cirrhosis not to have hernia
Men who have extreme difficulty urinating because of an
prostate should have the prostate problem fixed before
having hernia repair surgery.
People who have had radiation
treatments to the groin area may have poor healing and a higher risk of the
hernia coming back.
ByHealthwise Staff Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine Brian D. O'Brien, MD - Internal Medicine Adam Husney, MD - Family Medicine Specialist Medical ReviewerKenneth Bark, MD - General Surgery, Colon and Rectal Surgery