Principles of management of incarcerated hernia

Incarcerated hernia is a symptom caused by hernia contents stuck in the hernia ring opening, which can’t be encircled by itself. The principle of incarcerated hernia treatment for manipulation and surgical reset. 1. Manipulation: incarcerated time is short, usually not more than 4 to 6 hours, the local pressure and pain is not obvious, if the old and frail and serious diseases, can not accept surgical operation, and will not appear intestinal necrosis, can be manipulated to reset, and close observation. 2. Surgical reset: incarcerated for more than 12 hours or without contraindications, suspected incarcerated hernia needs to be operated. Intraoperative according to the presence or absence of concomitant intestinal necrosis, decide whether to joint resection of necrotic area intestinal, intraoperative exploration should be careful not to miss the intestinal located in the necrotic abdominal cavity. Once incarcerated hernia occurs, should immediately consult the doctor, under the guidance of the doctor standardized treatment, to avoid delay.