RT Book, Section A1 Ellison, E. Christopher A1 Zollinger, Robert M. SR Print(0) ID 1127274121 T1 REPAIR OF INDIRECT INGUINAL HERNIA T2 Zollinger's Atlas of Surgical Operations, 10e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 978-0-07-179755-9 LK accesssurgery.mhmedical.com/content.aspx?aid=1127274121 RD 2024/04/20 AB Any indirect inguinal hernia should be repaired electively unless contraindicated by the large size of the hernia or by the age or poor physical condition of the patient. The appearance of indirect inguinal hernia in middle-aged or elderly patients requires thorough medical investigation. Before repair is advised, it is wise to rule out any other source of pathology as a cause for the patient’s complaint rather than ascribe it to the presence of an indirect inguinal hernia. Patients who have straining from symptomatic gastrointestinal tract obstruction, chronic pulmonary disease, or prostatism need appropriate diagnostic studies.