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From the Archives Journals |

What to Advise Patients About HerniasADVISING PATIENTS ABOUT HERNIAS

Edward H. Livingston, MD
JAMA. 2010;304(9):1001-1002. doi:10.1001/jama.2010.1264.
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What advice should primary care clinicians give to patients regarding repair of abdominal wall hernia? Do all hernias need repair? If the hernia is repaired, should mesh be used? If so, why, and what are the risks? Is the operation best performed laparoscopically?

Abdominal wall hernia is a common condition, occurring after abdominal operations in nearly one-fourth of all patients who undergo abdominal surgery.1 Spontaneous abdominal wall hernias also occur, most commonly at the umbilicus and occasionally Spigelian hernias are seen at the semilunar line. Each year, an estimated 139 000 US patients undergo operations during inpatient admissions to repair abdominal wall hernias,2 with many more operations for abdominal wall hernias performed in outpatient surgery centers.


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