Which incision is used in a typical strangulated hernia repair?

The choice of McEvedy's incision for a typical strangulated hernia repair is appropriate because this incision is specifically designed to provide optimal access to the groin region, where inguinal hernias commonly occur. The McEvedy's incision allows for better visualization and access to the inguinal canal and the adjacent structures, which is essential when managing complications such as strangulation, where the blood supply to the herniated tissue is compromised.

During the repair of a strangulated hernia, quick access to the site is crucial for both diagnosis and intervention. The techniques employed with a McEvedy's incision facilitate the identification and assessment of the contents of the hernia sac, debridement if necessary, and any required reduction of the herniated tissue.

While the Lanz incision is more appropriate for certain abdominal procedures, it does not provide the specialized access needed for hernia repairs. Kocher's incision is typically utilized for gallbladder surgeries and upper abdominal procedures, and the midline incision, although versatile for many abdominal surgeries, might not be as effective in directly addressing the hernia and its complications as the McEvedy's. Therefore, for a typical strangulated hernia repair, the McEvedy's incision is the most