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Updated: Jul 2, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Complicated course after conservative treatment of incarcerated inguinal hernia]
Arnas Ugianskis1, Svend Erik Borup Christensen
1Sygehus Vendsyssel, Kirurgisk Afdeling, Hjørring. arnas_ugianskis@yahoo.com
Abstract:
We report a case of intestinal perforation due to manual reduction of incarcerated inguinal hernia. Explorative laparotomy was delayed and first attempted after 21 hours. The patient died as a result of peritonitis. If conservative treatment of incarcerated inguinal hernia is considered, this should be done with caution. When successful, possibility of reduction of non-vital organ should be eliminated. Patient must be informed about symptoms and risks, otherwise hospitalisation can be considered.
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