Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Q In men with asymptomatic or minimally symptomatic inguinal hernias, is watchful waiting as safe as surgical repair?
Clinical impact ratings GP/FP/Primary care ★★★★★★☆ IM/Ambulatory care ★★★★★★☆ Surgery—general ★★★★★★★ Surgery—gastrointestinal ★★★★★★★
randomised controlled trial.
blinded (site investigators and study personnel were blinded to outcome data).*
Follow up period:
4 community and academic centres in the US (Omaha, NE; Marshfield, WI; Dallas, TX; and Albuquerque, NM) and 1 in Canada (Montreal, Quebec).
724 men who were ⩾18 years of age (mean age 58 y) and had asymptomatic or minimally symptomatic inguinal hernia (including chronically incarcerated hernias). Exclusion criteria: undetectable hernias, local or systemic infection, or American Society of Anesthesiologists physical status >3. 4 patients were excluded after randomisation because of ineligibility.
watchful waiting (n = 366) or tension free hernia repair (n = 358).
pain and …