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    Subjects/Surgery/Inguinal Hernia
    Inguinal Hernia
    hard
    scissors Surgery

    A 28-year-old man presents with acute onset severe pain in the right groin with a tense, irreducible swelling. He reports a history of a painless groin swelling for 2 years that he had ignored. On examination, the swelling is tender, firm, and non-transilluminant. The overlying skin shows erythema. His temperature is 37.8°C. What is the most appropriate immediate management?

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