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Watchful Waiting Versus Immediate Repair for Occult Contralateral Inguinal Hernias.

RecruitingNAAges 18 Years - anyAllNorthwestern University
NCT07461558 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This study will compare two ways of managing a small, hidden hernia that can sometimes be found during minimally invasive surgery to repair a hernia on one side of the groin. Occasionally while fixing the known hernia, the surgeon discovers a small hernia on the other side that has not caused any symptoms. Surgeons do not agree on the best way to handle these hernias. Some believe it should be repaired right away during the same operation to prevent it from getting bigger or from causing symptoms later, which could require another surgery. Others believe it is better to leave it alone since it is not causing problems and groin hernia surgery carries risks including long-term pain. This study will randomly assign patients, if a hidden hernia is found during surgery, to either having it repaired immediately or to have it monitored over time. Patients will be followed up at 30 days, 1 year

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📋 Eligibility rules (as published)
Inclusion Criteria: * Male or female patients ≥18 years old * Symptomatic unilateral inguinal hernia * Occult contralateral hernia identified intraoperatively * Ability to provide informed consent Exclusion Criteria: * Prior contralateral inguinal hernia repair * Symptomatic, bilateral inguinal hernias confirmed on physical exam * Contraindications to general anesthesia or surgery * Urgent or emergent presentations * Adults unable to consent * Pregnant patients
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What it tests

  • surgery (any volume) and / or pharmaceuticals treatment initiated or planned or only dynamic observation, in accordance with current clinical guidelines
  • Watchful waiting with supportive care
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Where

1 site
Northwestern Memorial Hospital
Chicago, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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