Protrusion of bodily structure or organ through a defect in tissues normally containing it.
Classified as external (hernia protrudes visibly to outside), internal (herniated contents ...
Pain and swelling:
Localized to region of hernia
Persistent pain, vomiting, fever may indicate:
0.9% NS IV fluid resuscitation for dehydration, bowel strangulation, obstruction, or sepsis:
Adults: 1 L bolus
Peds: 20 mL/kg bolus
Strangulated hernias require immediate surgical intervention.
Incarcerated hernias require admission for urgent surgical intervention.
Failure to recognize signs and symptoms of an incarcerated or strangulated hernia
Forcing reduction of incarcerated hernia
Reintroducing strangulated bowel back into abdominal cavity
Derici H, Unalp HR, Bozdag AD, et al. Factors affecting morbidity and mortality in incarcerated abdominal wall hernias. Hernia. 2007;11(4):341–346.
Nicks BA. Hernias: Treat...
553.00 Femoral hernia without mention of obstruction of gangrene, unilateral or unspecified(not specified as recurrent)
553.9 Hernia of unspecified site without mention of obstruction or gang...
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