From the Research
A fat-containing hernia with skin changes should not be reduced by the patient and requires prompt medical evaluation. This type of hernia, especially with skin changes like redness, discoloration, or thinning, suggests possible complications such as incarceration or strangulation, as discussed in the context of hernia management 1. These complications occur when the herniated tissue becomes trapped and its blood supply is compromised. Attempting self-reduction could worsen the condition or mask a serious problem.
You should seek immediate medical care, either at an emergency department or urgent care center. A healthcare provider will assess the hernia and may attempt a gentle reduction under controlled conditions, possibly with pain medication or sedation. If reduction isn't possible or if strangulation is suspected, emergency surgery may be necessary. Surgery is the definitive treatment for hernias and involves returning the protruding tissue to its proper position and repairing the weakened area with sutures or mesh, with considerations for the use of prophylactic antibiotic therapy as outlined in guidelines 2.
While waiting for medical care, avoid straining, lifting, or activities that increase abdominal pressure, and do not apply force to the hernia yourself. The importance of proper diagnostic methodology and knowledge of the inguinal anatomy for the correct ultrasonographic diagnosis cannot be overstated, as highlighted in studies on differential diagnosis of fat-containing lesions in the inguinal canal 3.
Key considerations in the management of hernias include the potential benefits of weight loss in obese patients before hernia repair, as well as the advantages of minimally invasive procedures and the role of robotic hernia surgery in reducing morbidity 1. However, the immediate concern with a fat-containing hernia and skin changes is the potential for serious complications, making prompt medical evaluation and appropriate intervention crucial.