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DRG Category: 188
Mean LOS: 4.9 days
Description MEDICAL: Other Digestive System Diagnoses with CC
DRG Category: 352
Mean LOS: 2.4 days
Description SURGICAL: Inguinal and Femoral Hernia Procedures without CC or Major CC
A hernia is a protrusion or projection of an organ or organ part through the wall of the cavity that normally contains it. An inguinal hernia occurs when either the omentum, the large or small intestine, or the bladder protrudes into the inguinal canal. In an indirect inguinal hernia, the sac protrudes through the internal inguinal ring into the inguinal canal and, in males, may descend into the scrotum. In a direct inguinal hernia, the hernial sac projects through a weakness in the abdominal wall in the area of the rectus abdominal muscle and inguinal ligament.
Inguinal hernias make up approximately 80% of all hernias. Repair of this defect is the most frequently performed procedure by both pediatric and adult surgeons. Hernias are classified into three types: reducible, which can be easily manipulated back into place manually; irreducible or incarcerated, which cannot usually be reduced manually because adhesions form in the hernial sac; and strangulated, in which part of the herniated intestine becomes twisted or edematous, possibly resulting in intestinal obstruction and necrosis.