In men, does surgical repair of asymptomatic or minimally symptomatic inguinal hernia improve patient outcomes?

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Abstract

EVIDENCE-BASED ANSWER

Probably not. There is no difference in pain scores between observation and surgical repair in patients with asymptomatic or minimally symptomatic inguinal hernia at 1 to 2 years (SOR: A, consistent RCTs). The difference in quality-of-life scores is not clinically significant (SOR: A, consistent RCTs). However, a large proportion of patients will receive surgical intervention within 10 years because of symptom development (SOR: A, consistent RCTs).

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