Inguinal hernias usually occur on the right in
males in their first year. It is appropriate to attempt manual reduction
with firm finger pressure on the internal inguinal ring after analgesics
or sedation. Systemic signs that a hernia has become incarcerated
include fever, vomiting, or poor feeding, abdominal pain and a firm,
tender and nonreducible mass in the inguinal area and scrotum. Patients
with incarcerated hernias or signs of peritonitis must have immediate
surgical consultation, fluid resuscitation, and antibiotics.