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Hérnia inguinal em adultos

Last reviewed: 22 Sep 2025
Last updated: 29 Jun 2022

Summary

Definition

History and exam

Key diagnostic factors

  • desconforto ou dor com abaulamento da virilha
  • massa na virilha
  • desconforto ou dor abdominal
Full details

Other diagnostic factors

  • abdome agudo
  • náuseas e vômitos
  • constipação
Full details

Risk factors

  • sexo masculino
  • idade avançada
  • história familiar
  • prematuridade
  • aneurisma da aorta abdominal (AAA)
  • fáscia transversal defeituosa
  • bronquite crônica ou enfisema
  • Síndrome de Marfan
  • Síndrome de Ehlers-Danlos
  • latirismo
  • tabagismo
  • levantamento de peso
  • gestação
  • ascite
  • prostatectomia
  • apendicectomia
  • hiperplasia prostática benigna
  • estenose uretral
Full details

Diagnostic investigations

1st investigations to order

  • diagnóstico clínico
Full details

Investigations to consider

  • ultrassonografia da virilha
  • Tomografia computadorizada (TC)
  • ressonância nuclear magnética (RNM) da virilha
Full details

Treatment algorithm

ACUTE

hérnia encarcerada ou estrangulada

ONGOING

hérnia pequena e assintomática

hérnia não complicada grande ou sintomática

Contributors

Authors

Richard Burney, MD

Professor Emeritus of Surgery

Section of General Surgery

University of Michigan

Ann Arbor

MI

Disclosures

RB declares that he has no competing interests.

Acknowledgements

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.

Peer reviewers

Mark Carlson, MD, FACS

Department of Surgery

University of Nebraska Medical Center

Omaha

NE

Disclosures

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

Disclosures

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.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

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

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. Abstract

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

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.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Differentials

    • Testículo não descido
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  • Guidelines

    • ACR appropriateness criteria: hernia
    • International guidelines for groin hernia management
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  • Patient information

    Hérnia inguinal: o que é?

    Hérnia inguinal: cirurgia de hérnia

    More Patient information
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