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February 9, 2012
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Hernia (cont.)

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Hernia Prognosis

  • Risk of strangulation: In considering when to have a reducible hernia surgically repaired, it is important to know the risk of strangulation.


    • The risk varies with the location and size of the hernia and the length of time it has been present.


    • In general, hernias with large sac contents with a relatively small opening are more likely to become strangulated.


    • Hernias that have been present for many years may become irreducible.


  • Operative complications: Approximately 7% of people undergoing surgical hernia repair will have complications.


    • These are short-term and usually treatable.


    • The hernia that comes back after initial surgical repair can be repaired by the same or an alternate method.


    • Complications include the following:


      • recurrence (most common),


      • urinary retention,


      • wound infection,


      • fluid build-up in scrotum (called hydrocele formation),


      • scrotal hematoma (bruise), and


      • testicular damage on the affected side (rare).

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Read What Your Physician is Reading on Medscape

Hernias »

As defined in 1804 by Astley Cooper, ahernia as a protrusion of any viscus from its proper cavity.

Read More on Medscape Reference »

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