What are principles of tx of inguinal hernias?

Should be operated unless absolute CI Emergency operation if incarceration/obstruction/strangulation Congenital inguinal hernia may spontaneously cure can delay operation till >1 years old. Non-operative measure: if acute incarceration: manual reduction may be used, place pt in hips elevated and sedation, then gentle sustained pressure over mass may effect reduction in 30min, if no answer go for operation