Inguinal hernia

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A two-month old infant presents to the emergency department with irritability and nonbilious emesis. There is a tender mass in the right inguinal region which is not able to be reduced. Which of the following findings is a contraindication to attempting nonoperative reduction? [center][/center] [size=20px]A dilated loops of bowel on an abdominal radiograph B temperature of 38.9° C C erythema of the inguinal region D ultrasound demonstrating no flow to the bowel in the hernia E rebound abdominal tenderness[/size]

First one with correct answer with justification win. [size=20px]You see an otherwise healthy one-year old with a reducible right inguinal hernia and the family asks about laparoscopic hernia repair. An advantage of a laparoscopic hernia repair compared to an open inguinal hernia repair in this patient would be that the laparoscopic repair A has a lower risk of wound infection. B causes less postoperative pain. C has a lower risk of hernia recurrence. D has a shorter operative time. E is associated with a quicker return to normal activities.[/size]