Reducing an indirect inguinal hernia

A) Anatomy of an indirect inguinal hernia. B) Gas and stool are first "milked out" of the bowel to reduce its size. C) Constant pressure is applied for up to 5 minutes (distal to proximal) to reduce the hernia.

Reproduced with permission from: King C, Henretig FM. Inguinal hernia reduction. In: Textbook of pediatric emergency medicine procedures, 2nd ed, Lippincott Williams & Wilkins 2008. Copyright © 2008 Lippincott Williams & Wilkins. www.lww.com.

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Reducing an indirect inguinal hernia