What is the primary concern with a strangulated hernia?

The primary concern with a strangulated hernia is the compromised blood supply to surrounding tissues. In cases of strangulation, the herniated tissue becomes trapped and its blood supply is cut off. This leads to ischemia, which can quickly progress to tissue necrosis if not promptly addressed. The loss of blood flow not only affects the herniated tissue itself but can also impact nearby structures and lead to severe complications, including sepsis or shock, if the compromised tissue becomes infected or if toxic substances are released into the bloodstream. Therefore, the primary concern focuses on maintaining adequate blood supply to prevent serious, life-threatening outcomes.