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Case 169: 'My hernia wont go back in'

This man was putting off having this incisional hernia repaired. It usually did not cause him much trouble, and if it did he could lie down and it would reduce.



For the past 24 hrs it has been tender, painful and will not reduce when lying down.



Image provided by: Mr Boon Hong - General Surgeon, The Northern Hospital, Melbourne, Australia.



Image provided by: Mr Boon Hong - General Surgeon, The Northern Hospital, Melbourne, Australia.

1. What has happened?

2. How would you repair this problematic hernia?

3. When will you do it? It is getting late, the operating theatre is free now but tomorrow there will also be some time at 11am. Tonight or tomorrow?