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Media Gallery

Variations of hernia type and location.
50-year-old man presents with recurrent umbilical hernia, which is reduced in emergency department.
64-year-old woman presents with vague abdominal pain of 2 days' duration. Physical examination reveals tender palpable mass in left lower quadrant. CT reveals incarcerated ventral hernia.
Erythematous edematous left scrotum in 2-month-old boy with history of irritability and vomiting for 36 hours. Local signs of this magnitude preclude reduction attempts.
40-year-old man presents with left inguinal pain, swelling, and erythema consistent with left inguinal hernia. He is placed in Trendelenburg position to aid in reduction.
Ice pack is applied to patient with left inguinal hernia in Trendelenburg position.
Slow constant pressure is applied to patient with left inguinal hernia.
Emergency department hernia reduction by surgical resident. Sedation with propofol is required after unsuccessful reduction attempt with opioid analgesia.
Hernia content balloons over external ring when reduction is attempted.
Hernia can be reduced by medial pressure applied first.
Inguinal hernia reduction under ultrasonographic guidance. Video courtesy of Ultrasoundpaedia at http://www.ultrasoundpaedia.com.

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Author

Ajita R Shah, MD Resident Physician, Department of Emergency Medicine, University of Texas Health Science Center at Houston, Memorial Hermann Hospital

Ajita R Shah, MD is a member of the following medical societies: American College of Emergency Physicians, Society for Academic Emergency Medicine, Emergency Medicine Residents' Association

Disclosure: Nothing to disclose.

Coauthor(s)

Anil Samoilenko Menon, MD, MS, MPH Assistant Professor, University of Texas Medical Branch School of Medicine

Anil Samoilenko Menon, MD, MS, MPH is a member of the following medical societies: Aerospace Medical Association, Society of United States Air Force Flight Surgeons, Wilderness Medical Society

Disclosure: Nothing to disclose.

Erik D Schraga, MD Staff Physician, Department of Emergency Medicine, Mills-Peninsula Emergency Medical Associates

Disclosure: Nothing to disclose.

Specialty Editor Board

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Chief Editor

Vikram Kate, MBBS, MS, PhD, FACS, FACG, FRCS, FRCS(Edin), FRCS(Glasg), FFST(Ed), FIMSA, MAMS, MASCRS Dean (Academic) and Professor of General and Gastrointestinal Surgery and Senior Consultant Surgeon, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), India

Vikram Kate, MBBS, MS, PhD, FACS, FACG, FRCS, FRCS(Edin), FRCS(Glasg), FFST(Ed), FIMSA, MAMS, MASCRS is a member of the following medical societies: American College of Gastroenterology, American College of Surgeons, American Society of Colon and Rectal Surgeons, Fellow of the Faculty of Surgical Trainers (RCSEd), Royal College of Physicians and Surgeons of Glasgow, Royal College of Surgeons of Edinburgh, Royal College of Surgeons of England, Society for Surgery of the Alimentary Tract

Disclosure: Nothing to disclose.

Additional Contributors

Gil Z Shlamovitz, MD, FACEP Professor of Clinical Emergency Medicine, Keck School of Medicine of the University of Southern California; Chief Medical Information Officer, Keck Medicine of USC

Gil Z Shlamovitz, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Acknowledgements

The Chief Editor would like to acknowledge the assistance of Dr Gurushankari Balakrishnan, Surgical Oncology Resident, Cancer Institute (WIA), Adyar, Chennai, India, in updating the review of this article.

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