Tests are usually not necessary. Treatment Return to top Hernias generally get larger with time, and do not resolve spontaneously. Therefore, elective surgical repair is indicated in patients who are good candidates for surgery, to prevent discomfort and pain, and to prevent complications such as incarceration and strangulation. A hernia that cannot be forced back into the abdominal wall by pressure may be trapped or strangulated. Without treatment, a strangulated section of the intestine will die, because the blood supply is inadequate.
Urgent operation is required for incarcerated or strangulated hernias.
Surgery to reposition the loop of intestine and secure the weakened muscles in the abdomen is indicated. Often a piece of plastic mesh is used to repair the defect in the abdominal wall. A corset or a truss is not adequate treatment for a hernia, because the loop of intestine can still become strangulated. The outcome is expected to be good with proper treatment. Complications Return to top A strangulated intestine can result in gangrene, a life-threatening condition requiring emergency surgery.