Interval conservative management is safe for incarcerated paraesophageal hernias.

Adopting an initial conservative management strategy for clinically stable patients with incarcerated paraesophageal hernias allows 66% to resolve their conditions without urgent surgery. Among the 35 patients studied, one experienced unplanned readmission before planned interval repair. Complication rates remained similar between those who underwent conservative management and those requiring surgery. Overall, managing these patients conservatively did not increase hospital stay duration or perioperative complications, presenting a safer alternative to emergency surgery.