In an urgent operation for a likely strangulated paraumbilical hernia, the contents must be inspected, and non-viable bowel is resected with anastomosis, so consent must include this. Mesh should be avoided when strangulation is established, because the infection risk is too high (B is wrong). A midline laparotomy is not the routine first step (C), and the laparoscopic suture repair in A is not standard here.