9 doctors weighed in:
When does an inguinal hernia operation absolutely have to be done?
9 doctors weighed in

Dr. Barry Rosen
Surgery
5 doctors agree
In brief: STRANGULATION!!!
The only absolute indication for hernia surgery is when intestine gets stuck within the hernia and cannot be reduced.
This requires emergency surgery to check if the blood supply to the intestine has been cut-off; sometimes we have to remove the involved intestine. Obviously, it is best to have a hernia repaired before this happens, but it is not always predictable.

In brief: STRANGULATION!!!
The only absolute indication for hernia surgery is when intestine gets stuck within the hernia and cannot be reduced.
This requires emergency surgery to check if the blood supply to the intestine has been cut-off; sometimes we have to remove the involved intestine. Obviously, it is best to have a hernia repaired before this happens, but it is not always predictable.
Dr. Barry Rosen
Dr. Barry Rosen
Thank
4 doctors agree
In brief: Yes
An ounce of prevention (hernia repair electively) is worth a pound of cure(emergent repair when strangulated bowel leads to need for life saving surgery!).

In brief: Yes
An ounce of prevention (hernia repair electively) is worth a pound of cure(emergent repair when strangulated bowel leads to need for life saving surgery!).
Dr. Cosme Manzarbeitia
Dr. Cosme Manzarbeitia
Thank
2 doctors agree
In brief: Emergency
Hernia conditions may include painful hernia incarceration or strangulation.
It is noted by marked groin pain, hard painful groin mass that does not go back inside, and can have vomiting and inability to eat. Do not wait for a hernia emergency to occur. See a doctor sooner than later.

In brief: Emergency
Hernia conditions may include painful hernia incarceration or strangulation.
It is noted by marked groin pain, hard painful groin mass that does not go back inside, and can have vomiting and inability to eat. Do not wait for a hernia emergency to occur. See a doctor sooner than later.
Dr. Mark Hoepfner
Dr. Mark Hoepfner
Thank
Dr. David Earle
Surgery
In brief: Never
Even if it is a life threatening emergency, you can choose death over repair. This could be the case for someone's demented parent living in a nursing home being kept alive with machines.
For a healthy 45 year old, it is also ok to observe the hernia, unless you are more of a preventative maintenance person. If the symptoms are progressive, see a general surgeon for a consultation for sure.

In brief: Never
Even if it is a life threatening emergency, you can choose death over repair. This could be the case for someone's demented parent living in a nursing home being kept alive with machines.
For a healthy 45 year old, it is also ok to observe the hernia, unless you are more of a preventative maintenance person. If the symptoms are progressive, see a general surgeon for a consultation for sure.
Dr. David Earle
Dr. David Earle
Thank
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