Hernias found during surgery.

摘要

I am writing regarding the recent Images in Endoscopy article that appeared in the July/August 2009 issue of the Journal [1]. Many questions were raised about hernias, and because of the common nature of this condition, I believe this provides a good opportunity to elaborate on the approach to hernias found during surgery.As the title states, if the hernia is asymptomatic and is truly an inguinal hernia, most surgeons would not proceed with repair. In evaluating patients with lower abdominal or pelvic pain when a gynecologic source has been ruled out, inguinal hernias usually are easily diagnosed preoperatively, and the repair, whether open or laparoscopic, can be electively scheduled if it is believed to be the source of pain. Repairing a hernia because of the potential for incarceration, if there has been no history of incarceration or pain, is currently not thought necessary, and preventive repair is not usually performed.