All should be treated surgically. The key to surgery is to free and regather the slipped out organs and reconstitute a complete hernia sac before performing high ligation and hernia repair.
1. Hernia sac shaping and high ligation
(1) Bevan's method A commonly used surgical method for smaller sliding hernias, such as sliding out of the cecum.
(2) La Roque method Suitable for larger sliding hernias, such as sigmoid slide-out.
(3) Ponka's method For larger sliding hernias.
2. Hernia repair
Sliding hernia is characterized by the hernia ring is supported, the abdominal wall layers of the tendon membrane and the transversal abdominal fascia strength is seriously damaged, so the repair of the inner ring is more often used Bassini method of repair, or the use of mesh repair.