Understanding the Difference Between an Incarcerated Hernia and a Strangulated Hernia

Hernias are a common medical condition that can cause discomfort, but understanding the specific types—especially incarcerated and strangulated hernias—can be vital for timely treatment and prevention of serious complications.

Core Surgical in NYC shares what you need to know about these two conditions.

What is an Incarcerated Hernia?

Hernias are common, and some occur more frequently than others.

• Inguinal hernias affect around 25% of all men.
• Hiatal hernias affect around 20% of people in the U.S. and 50% over the age of 50.
• Congenital hernias occur in about 15% of newborns, mostly umbilical.
• Incisional hernias make up about 10% of hernias.
• All other types make up another 10%.

An incarcerated hernia occurs when a portion of tissue, often part of the intestine, becomes trapped in the hernial sac. This condition may not always cause severe symptoms, but it can lead to complications if not addressed promptly. Signs of an incarcerated hernia include:

• Swelling or a bulge in the abdomen or groin
• Pain and tenderness at the site
• Nausea or vomiting (which indicates that the digestive tract may be affected)

While incarcerated hernias do not often lead to immediate life-threatening situations, they can pose risks if the trapped tissue becomes deprived of blood flow.

What is a Strangulated Hernia?

A strangulated hernia is a more severe condition that arises from an incarcerated hernia. In this case, the blood supply to the trapped tissue (usually the intestine) is cut off, leading to tissue death if not treated urgently. This situation is a medical emergency and requires immediate attention. Signs of a strangulated hernia include:

• A sudden increase in pain or the pain becoming more severe
• Signs of bowel obstruction, including severe abdominal pain, vomiting and inability to pass gas or have a bowel movement
• Weakness or numbness in the area of the hernia
• Fever or other signs of infection

Key Differences Between the Two

Blood Supply

• Incarcerated Hernia: The blood supply is still intact but compromised due to the trapping of tissue.
• Strangulated Hernia: The blood supply is completely cut off, which can lead to tissue necrosis (death).

Symptoms

• Incarcerated Hernia: Symptoms can be uncomfortable but not life-threatening.
• Strangulated Hernia: Symptoms escalate quickly and can lead to severe complications, including sepsis if the tissue dies.

Urgency of Treatment

• Incarcerated Hernia: Requires monitoring and possibly surgical intervention, but it is often not immediate.
• Strangulated Hernia: This is a medical emergency requiring immediate surgery to restore blood flow and remove any necrotic tissue.

NYC Incarcerated Hernia Treatment

Understanding the differences between incarcerated and strangulated hernias is crucial for anyone experiencing hernia symptoms. If you suspect you have a hernia and experience any sudden or severe pain, nausea or other concerning symptoms, contact Core Surgical right away. Early diagnosis and treatment can prevent complications and lead to better outcomes. Call today to learn more and schedule an exam and consultation.