RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187823095
T1 Repair of Inguinal Hernia (Tissue Repair)
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187823095
RD 2024/04/25
AB Repair  of  an  inguinal  hernia  should  be  considered  in  patients  with  symptoms  ascribable  to  the  hernia.  Typically,  this  includes  pain  and/or  functional  limitations  due  to  the  hernia  itself.  Watchful  waiting  can  be  considered  in  asymptomatic  patients,  especially  if  surgical  risk  is  high  or  other  comorbidities  may  impact  the  durability  of  repair  (e.g.,  morbid  obesity,  poor  functional  status).  The  appearance  of  an  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  inguinal  hernia.  Patients  who  have  straining  from  symptomatic  gastrointestinal  tract  obstruction,  chronic  pulmonary  disease,  or  prostatism  need  appropriate  diagnostic  studies.