Does delaying repair of an asymptomatic hernia have a penalty?

Abstract:

BACKGROUND:The incidence of hernia accident for inguinal hernias in men who are minimally symptomatic is sufficiently low that watchful waiting is an acceptable alternative to routine repair. Our aim was to determine whether a delay in hernia surgery affects short- and long-term outcomes. METHODS:Patients from a multicenter randomized clinical trial of immediate tension-free repair versus watchful waiting for minimally symptomatic inguinal hernias were studied. Patients (n = 353) underwent tension-free repair and were classified as immediate repair (< or = 6 months, N = 288) or delayed repair (> 6 months, N = 65). RESULTS:Patients were similar at baseline with respect to age, American Society of Anesthesiologists classification, pre-existing conditions, hernia type, and hernia characteristics. Patients undergoing immediate and delayed repair had comparable surgical time, surgical complications, recurrence rates, and satisfaction with outcome. Multivariate analyses found no relation between duration until hernia repair and operative time, incidence of complications, long-term pain, or functional status. CONCLUSIONS:Delaying hernia repair in patients who are minimally symptomatic does not have an adverse effect on subsequent operation and on other outcomes.

journal_name

Am J Surg

authors

Thompson JS,Gibbs JO,Reda DJ,McCarthy M Jr,Wei Y,Giobbie-Hurder A,Fitzgibbons RJ Jr

doi

10.1016/j.amjsurg.2007.07.021

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

89-93

issue

1

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(07)00827-6

journal_volume

195

pub_type

杂志文章,多中心研究,随机对照试验
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