指南的主要目的是改善患者的预后，特别是降低复发率和减少慢性疼痛。国际腹股沟疝管理指南（2018）分为3个部分，专家组讨论了136项陈述和88项建议。指南的第1部分有15个问题，其中10个问题的中文解读已在《中华疝和腹壁外科杂志（电子版）》2018年12（5）期发布，第2部分围绕成人腹股沟疝的管理讨论了第16～21共6个问题，包括：女性腹股沟区域疝、股疝、并发症的预防和治疗、疼痛的预防和治疗、复发性腹股沟疝以及急诊腹股沟区域疝的治疗。现本文将对第2部分进行归纳解读。

The main goal of the guidelines is to improve patients' outcome, specifically to decrease the recurrence rates and reduce chronic pain. 136 statements and 88 recommendations were discussed by the expert group of this guideline. The part one of this guideline discusses 15 questions related the management of inguinal hernias in adults. Among them, the Chinese interpretation of the 10 questions in the part one has been published in last volume. The part two of this guideline discuses 6 questions, No. 16~No.21. This article summarizes the following key points in the guideline: (1) Groin hernias in women; (2) Femoral hernias; (3) Complications: prevention and treatment; (4) Pain: prevention and treatment; (5) Recurrent inguinal hernias; (6) Emergency treatment of groin hernia.