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Hernia Reduction
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Hernia Reduction
See Also
Hernia
Inguinal Hernia
Inguinal Hernia in Children
Sports Hernia
Inguinal Hernia
Femoral Hernia
Umbilical Hernia
Paraumbilical Hernia
Epigastric Hernia
Incisional Hernia
Spigelian Hernia
Diastasis Recti
Hernia Reduction
Indications
Incarcerated Hernia
Contraindications (risk of peritonitis)
Toxic appearance or signs of peritonitis
Bowel Obstruction
Necrotic or gangrenous tissue
Strangulated Hernia
Technique
Positioning
Abdominal Hernia
Patient supine
Groin Hernia
(
Inguinal Hernia
or
Femoral Hernia
)
Adult: Patient in 20 degrees Trandelenburg
Child: Unilateral frog leg position
Ice packs applied to
Hernia
(reduce edema)
Decrease pain (with decreased abdominal guarding and intraabdominall pressure)
Conscious Sedation
(as needed)
Opioid Analgesic
s
Re-examine after 20-30 minutes
Positioning, ice and
Analgesic
s alone may reduce
Hernia
Bimanual Reduction
Guide proximal
Hernia
through fascial defect with one hand
Apply gentle pressure to distal aspect of
Hernia
with the other hand
Avoid excessive pressure due to risk of edema and more difficult reduction
Slow manual pressure over 5-15 minutes
Disposition
Surgical
Consultation
Immediate if unsuccessful reduction of
Incarcerated Hernia
Outpatient surgical evaluation within 1-2 weeks if successful Hernia Reduction (for elective repair)
References
Stevens (2013) Crit Dec Emerg Med 27(9): 2
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