Is watchful waiting a reasonable approach for men with minimally symptomatic inguinal hernia?
نویسندگان
چکیده
منابع مشابه
Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial.
CONTEXT Many men with inguinal hernia have minimal symptoms. Whether deferring surgical repair is a safe and acceptable option has not been assessed. OBJECTIVE To compare pain and the physical component score (PCS) of the Short Form-36 Version 2 survey at 2 years in men with minimally symptomatic inguinal hernias treated with watchful waiting or surgical repair. DESIGN, SETTING, AND PARTICI...
متن کاملCanadian Association of General Surgeons and American College of Surgeons evidence-based reviews in surgery. 26. Watchful waiting versus repair of inguinal hernia in minimally symptomatic men.
Objective: To compare pain and physical function in men with minimally symptomatic inguinal hernia with watchful waiting or surgical repair. Design: Randomized controlled trial. Setting: Five community and academic centres in Canada and the United States. Patients: A total of 724 men were randomly assigned to a watchful waiting group (n = 366) versus a standard Lichtenstein open tension-free re...
متن کاملLong-term results of a randomized controlled trial of a nonoperative strategy (watchful waiting) for men with minimally symptomatic inguinal hernias.
OBJECTIVE To assess the long-term crossover (CO) rate in men undergoing watchful waiting (WW) as a primary treatment strategy for their asymptomatic or minimally symptomatic inguinal hernias. BACKGROUND With an average follow-up of 3.2 years, a randomized controlled trial comparing WW with routine repair for male patients with minimally symptomatic inguinal hernias led investigators to conclu...
متن کاملCurrent options in inguinal hernia repair in adult patients.
Inguinal hernia is a very common problem. Surgical repair is the current approach, whereas asymptomatic or minimally symptomatic hernias may be good candidate for watchful waiting. Prophylactic antibiotics can be used in centers with high rate of wound infection. Local anesthesia is a suitable and economic option for open repairs, and should be popularized in day-case setting. Numerous repair m...
متن کاملInguinal Hernia Repair: Principles and Practice in the United Kingdom.
For asymptomatic or minimally symptomatic hernias, a watchful waiting approach is advocated where the patient is reassured and clear instruction is given to seek medical attention urgently if features of strangulation develop. Surgical treatment is approved if the hernia 0 0 0 progressively increases in size month on month, or ! is not commissioned in patients with groin pain with no 0 ! / 0 0 ...
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ورودعنوان ژورنال:
- CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
دوره 174 9 شماره
صفحات -
تاریخ انتشار 2006