Groin hernias include inguinal and femoral hernias. Inguinal hernias are the most common type of groin hernias and are found predominantly in men, while femoral hernias are more common in women. Clinical presentation of groin hernias can range from being asymptomatic to necessitating emergent intervention. Watchful waiting is a safe approach for minimally symptomatic inguinal hernias or in patients who do not desire surgery since progression to acute incarceration/strangulation is rare. Patients with symptomatic groin hernias and those who desire surgery should be referred to a general surgeon. Femoral hernias are at high risk of progression to acute incarceration/strangulation; therefore, all female patients with groin bulge should be referred to a surgeon. Patients who present with acute incarceration and strangulation symptoms should be referred immediately to an emergency room. This chapter serves as a guide for primary care providers, offering them an insight into the multifaceted aspects of groin hernia and its effective management.

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Adult Inguinal Hernias

  • Hamza Nasir Chatha,
  • Joshua L. Lyons,
  • Mazen R. Al-Mansour

摘要

Groin hernias include inguinal and femoral hernias. Inguinal hernias are the most common type of groin hernias and are found predominantly in men, while femoral hernias are more common in women. Clinical presentation of groin hernias can range from being asymptomatic to necessitating emergent intervention. Watchful waiting is a safe approach for minimally symptomatic inguinal hernias or in patients who do not desire surgery since progression to acute incarceration/strangulation is rare. Patients with symptomatic groin hernias and those who desire surgery should be referred to a general surgeon. Femoral hernias are at high risk of progression to acute incarceration/strangulation; therefore, all female patients with groin bulge should be referred to a surgeon. Patients who present with acute incarceration and strangulation symptoms should be referred immediately to an emergency room. This chapter serves as a guide for primary care providers, offering them an insight into the multifaceted aspects of groin hernia and its effective management.