I'm new at hernia repair coding and quite confused with these! Is the following reducible inguinal hernia repair or incarcerated?
Direct inguinal hernia found.
The ilioinguinal nerve that was directly in the field was transected high. With this having been completed a plane beneath the external oblique identifying the conjoint tendon and the inguinal ligament and somewhat above superiorly was created. With this having been completed the direct sac was identified. It was mobilized circumferentially and a pro peritoneal dissection space created using gauze and gentle blunt finger dissection. A modified kugel system circular pro peritoneal patch was inserted into the pro peritoneal space and spread out. The two tails were cut short anchored to the conjoint tendon medially into the inguinal ligament laterally. An onlay patch was then selected. It was placed over the inguinal floor anchored to the pubic tubercle area, the conjoint tendon, and the inguinal ligament with interrupted 2-0 vicryl sutures. At the internal ring area the mesh was incised and teed in standard fashion and wrapped around the cord suturing to itself again using 2-0 vicryl and then to the inguinal ligament. The upper portion of the mesh was placed beneath the external oblique. Then the pubic tubercle, inguinal ligament, conjoint tendon, and the eminence for the ilioinguinal and iliohypogastric nerves were infiltrated with .025% Marcaine. External oblique & subcutaneous tissue was then closed.
My second question is, I've been told that an incarcerated hernia cannot be reduced but I think that is not true?