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Inguinal hernia in adults

Última revisão: 5 Aug 2025
Última atualização: 02 Oct 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • groin discomfort or pain with bulge
  • groin mass
  • abdominal discomfort or pain
Detalhes completos

Outros fatores diagnósticos

  • acute abdomen
  • nausea and vomiting
  • constipation
Detalhes completos

Fatores de risco

  • male sex
  • older age
  • family history
  • prematurity
  • abdominal aortic aneurysm (AAA)
  • defective transversalis fascia
  • chronic bronchitis or emphysema
  • Marfan syndrome
  • Ehlers-Danlos syndrome
  • lathyrism
  • smoking
  • heavy lifting
  • pregnancy
  • ascites
  • prostatectomy
  • appendectomy
  • benign prostatic hypertrophy
  • urethral stricture
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • clinical diagnosis
Detalhes completos

Investigações a serem consideradas

  • ultrasound scan of groin
  • CT scan
  • MRI of groin
Detalhes completos

Algoritmo de tratamento

AGUDA

incarcerated or strangulated hernia

CONTÍNUA

small, asymptomatic hernia

large or symptomatic uncomplicated hernia

Colaboradores

Autores

Richard Burney, MD

Professor Emeritus of Surgery

Section of General Surgery

University of Michigan

Ann Arbor

MI

Declarações

RB declares that he has no competing interests.

Agradecimentos

Dr Richard Burney would like to gratefully acknowledge Dr LS Wong and Dr EA Agaba, the previous contributors to this monograph. LSW and EAA declare that they have no competing interests.

Revisores

Mark Carlson, MD, FACS

Department of Surgery

University of Nebraska Medical Center

Omaha

NE

Declarações

MC declares that he has no competing interests.

Patrick J. O'Dwyer, MBChB BAO, FRCS, MCh

Professor of Gastrointestinal Surgery

University Department of Surgery

Western Infirmary

Glasgow

UK

Declarações

PJOD declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Itani KMF, Fitzgibbons R. Approach to groin hernias. JAMA Surg. 2019 Jun 1;154(6):551-2.Texto completo  Resumo

Fitzgibbons RJ Jr, Ramanan B, Arya S, et al. Long-term results of a randomized controlled trial of a nonoperative strategy (watchful waiting) for men with minimally symptomatic inguinal hernias. Ann Surg. 2013 Sep;258(3):508-15. Resumo

Montgomery J, Dimick JB, Telem DA. Management of groin hernias in adults-2018. JAMA. 2018 Sep 11;320(10):1029-30. Resumo

Neumayer L, Giobbie-Hurder A, Jonasson O, et al. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. 2004 Apr 29;350(18):1819-27.Texto completo  Resumo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
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