HOME >> MEDICINE >> NEWS
Delaying surgery for hernia repair a safe option

Men who delay surgical repair of a hernia until the hernia becomes uncomfortable fare as well those who undergo immediate surgery, according to a study at five North American medical centers.

In the study, published in the Jan. 18 issue of JAMA, a journal of the American Medical Association, 720 men with inguinal hernia (a small part of the large or small intestine protruding into the groin) were randomly assigned to either "watchful waiting" or standard hernia repair surgery and followed up for two to 4.5 years.

In an earlier study, the researchers had compared non-invasive laparoscopic hernia operations with open procedures. "But there are a lot of men walking around with hernias who say, 'If it's not bothering me, I won't bother it,'" said Dr. Olga Jonasson, professor of surgery at the University of Illinois at Chicago, who initiated the study. "We wanted to know if it was safe to delay surgery altogether."

Of the 364 men assigned to watchful waiting, 23 percent later chose to have surgery, usually because of increased pain. Seventeen percent of the 356 men assigned to surgery chose instead to cross over into watchful waiting. Waiting did not increase the rate of complications from surgery in those patients who eventually had it, and the rate of complications from hernias left unrepaired was even lower.

After two years, the same proportion of men in each group reported developing pain great enough to interfere with everyday activities, but both groups overall reported less pain at the end of the two years. Patients who received surgical repair reported significantly greater improvement in their ability to perform a range of everyday activities.

The authors conclude that a strategy of watchful waiting is "a safe and acceptable option" for men whose hernias are not causing discomfort that interferes with their day-to-day activities. Hernia complications occur only rarely, and pati
'"/>

Contact: Jeanne Galatzer-Levy
jgala@uic.edu
312-996-1583
University of Illinois at Chicago
17-Jan-2006


Page: 1 2

Related medicine news :

1. Delaying surgery is a safe, acceptable option for some men with hernia
2. Delaying radiation for prostate cancer does not affect outcome
3. Delaying medication for infrequent seizures may be the best option
4. HealthGrades study: Bariatric surgery patients have fewer complications at high-volume hospitals
5. Nonsmall cell lung cancer -- chemotherapy before surgery appears better than surgery alone
6. After epilepsy surgery, quality of life related more to seizures than memory
7. Pancreatic surgery riskier for obese patients
8. Second SPORT study shows surgery advantage for spinal stenosis and slipped vertebra
9. Study questions risks of anti-bleeding drug during heart surgery
10. Same-day coronary angiography and surgery safe for many patients
11. Sling surgery is more effective than Burch for bladder control in women

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:9/7/2018)... (PRWEB) , ... September 07, 2018 , ... Start your ... with 12 different sports experiences from which to choose. Pedal power is the name ... Repair Drag Strip Experience or turning left on the miniature Indianapolis Motor Speedway oval. ...
(Date:9/2/2018)... ... 2018 , ... Eaton Hotel in Washington, DC is a ... opened this week, inspires creativity and innovation among its guests, whether they are ... currently features 209 hotel rooms, a wellness center, a radio station, a meeting ...
(Date:8/31/2018)... ... August 31, 2018 , ... Becker's ... , This list includes independent community hospitals as well as facilities affiliated with ... small communities outside of large cities. The hospitals continue to grow in many ...
(Date:8/31/2018)... ... August 31, 2018 , ... Nitro Circus hosted the inaugural A ... – an action sports gathering to celebrate the life of Erik Roner, world-renowned skier, ... for Erik’s wife, Annika and their two small children, Oskar (8) and Kasper (4). ...
(Date:8/31/2018)... (PRWEB) , ... August 31, ... ... on VERALOX Therapeutics Inc.’s “hit” list. The company, a small molecule drug ... (FITCI), launched in September 2017 with a mission to develop a first-in-class ...
Breaking Medicine News(10 mins):
(Date:9/15/2018)... ... September 14, 2018 , ... EnviroLeather™ by ... Developed in collaboration with SmithGroup, the Carto.graph collection is a graphic expression of ... teamed up with SmithGroup’s healthcare interior designer, Aileen Avila-Banaag to design the Carto.graph ...
(Date:9/15/2018)... ... September 14, 2018 , ... ... individuals and families affected by Hurricane Florence. , Throughout the month of September, ... in any amount, or round up their transaction to the nearest dollar to ...
(Date:9/13/2018)... ... September 13, 2018 , ... NCPDP announced today ... and ensure correct implementation of the NCPDP SCRIPT Standard Version 2017071 ahead of ... and transactions identified by the industry as vital enhancements in improving patient safety, ...
Breaking Medicine Technology:
Cached News: