What is the risk of bowel strangulation in an adult with an untreated inguinal hernia?

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What is the risk of bowel strangulation in an adult with an untreated inguinal hernia?

Please use this identifier to cite or link to this item: http://hdl.handle.net/10355/3649

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Title: What is the risk of bowel strangulation in an adult with an untreated inguinal hernia?
Author: Leubner, Kristel D.; Chop, William M.; Ewigman, Bernard; Loven, Bridget
Keywords: risk factors
bowel incarceration
elderly
Date: 2007-12
Publisher: Family Physicians Inquiries Network
Citation: Journal of Family Practice, 56(12) 2007: 1039-1041.
Abstract: The risk of bowel strangulation is estimated to be small—less than 1% per year (strength of recommendation [SOR]: B, based on small cohort studies with short follow-up). Experts recommend repair for patients with risk factors for poor outcomes after potential strangulation. These risk factors include advanced age, limited access to emergency care, significant concomitant illness, inability to recognize symptoms of bowel incarceration, and poor operative risk (American Society of Anesthesiologists class III and IV) (SOR: C, based on expert opinion and case series). It is reasonable to offer elective surgery or watchful waiting to low-risk patients who understand the risks of strangulation (SOR: C, based on expert opinion and case series).
URI: http://hdl.handle.net/10355/3649

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