Inguinal Hernia Watchful Waiting

Surgery fitzgibbons and colleagues randomly assigned 720 men with inguinal hernias to one approach or the other. A policy of watchful waiting and prior approval for elective asymptomatic hernia repair introduced by the birmingham and solihull primary care trust cluster 11 was implemented in the trust in december 2010. The north american study fitzgibbons 2006 randomised 720 men to surgical repair or watchful waiting.

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Primary endpoint was the mean difference in a 4 point pain discomfort score at 24 months of follow up.

Inguinal hernia watchful waiting. One of the these was performed in glasgow and the second was a multi centre study from north america. The role of watchful waiting in older male patients with mildly symptomatic or asymptomatic inguinal hernia is still not well established. The role of watchful waiting in older male patients with mildly symptomatic or asymptomatic inguinal hernia is still not well established. New evidence indicates the vast majority of men with asymptomatic or minimally symptomatic inguinal hernias will eventually come to surgery.

Indianapolis the luster has suddenly worn off the time honored strategy of nonoperative watchful waiting in men with minimally symptomatic inguinal hernias. In this noninferiority trial we randomly assigned men aged 50 years and older with mildly symptomatic or asymptomatic inguinal hernia to either elective inguinal hernia repair or watchful waiting. To compare if watchful waiting is noninferior to elective repair in men aged 50 years and older with mildly symptomatic or asymptomatic inguinal hernia. In this noninferiority trial we randomly assigned men aged 50 years and.

Watchful waiting for hernia in adults at nyu langone surgical repair of many hernias in adults is not necessary. In a 2014 study patients that switched from elective surgery to watchful waiting were 59 more likely to require emergency surgery 1 with all its associated costs. Your doctor may recommend watchful waiting if a hernia is small or causes no symptoms or if you have other conditions that increase the risk for complications from surgery. But inguinal hernias tend to worsen rather than stay benign.

Watchful waiting is a reasonable option for men whose inguinal hernia is minimally symptomatic. Two years after randomization similar proportions of patients in the watchful waiting and surgical repair groups had pain sufficient to limit usual activities and their levels of physical functioning were similar. Watchful waiting is considered an alternative to surgery particularly for mild asymptomatic hernias where the pain is. In an effort to better understand the risks and benefits of watchful waiting vs.

The new policy supported surgical treatment for patients with symptomatic inguinal hernias hernias not amenable to simple reduction or strangulated hernias. In this noninferiority trial we randomly assigned men aged 50 years. Using a 0 20 point difference as a. To compare if watchful waiting is noninferior to elective repair in men aged 50 years and older with mildly symptomatic or asymptomatic inguinal hernia.

Two important studies have addrssed the safety and wisedom of adopting a non operative approach to asymptomatic inguinal hernias.