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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Inguinal Hernia

53 Yr old patient had inferior wall myocardial infarction on 21 Aug 2004,had 4 vessel disease,underwent CABG on 8,sept 2004.LVEF 45%. He has right indirect inguinal hernia.What is ideal surgery for him and how much is the risk for general anaesthia ? He is on clopidogrel 75 mg OD,atorvastatin 10mg OD,ramipril 5mg OD,spironolactone 25mg OD,carvedilol 12.5mg BD.
posted on Fri, 14 Mar 2014
Twitter Sun, 18 Feb 2018 Answered on
Twitter Fri, 23 Feb 2018 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hello

Thank you for trusting HCM

Dear always benefits outweigh risks, if the patient developed pain or herniation of bowel content with strangulation may require surgery.

May need hernioplasty or herniorraphy . so If his cardiac output is good no signs of heart failure and no under control he may undergo hernia repair surgery.

He may just need to order stop anti platelet drugs 3-5days before surgery and he can start with in 24hours after surgery.

Please consult your doctor he will examine and decided according to the patient condition.

Take care
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Suggest Treatment For Inguinal Hernia

Hello Thank you for trusting HCM Dear always benefits outweigh risks, if the patient developed pain or herniation of bowel content with strangulation may require surgery. May need hernioplasty or herniorraphy . so If his cardiac output is good no signs of heart failure and no under control he may undergo hernia repair surgery. He may just need to order stop anti platelet drugs 3-5days before surgery and he can start with in 24hours after surgery. Please consult your doctor he will examine and decided according to the patient condition. Take care