Comparing Watchful Waiting Versus Immediate Repair for Hidden Hernias Found During Minimally Invasive Groin Hernia Surgery

What this Trial Is About

Researchers are studying the best way to manage small hidden hernias found during minimally invasive surgery to repair a known hernia on one side of the groin. This trial compares two approaches repairing the hidden hernia immediately during surgery versus monitoring it over time without repair. The purpose is to determine if immediate repair is as safe and effective as watchful waiting, helping doctors and patients make better treatment decisions. Participants who have a hidden hernia discovered during surgery will be randomly assigned to one of two groups. One group will have the hidden hernia repaired right away using a surgical mesh technique following repair of their known hernia. The other group will have only the known hernia repaired, with the hidden hernia left alone and monitored. The study tracks outcomes at 30 days, 1 year, and 2 years after surgery. During the study, participants will be followed up to assess recovery, quality of life, hernia symptoms, complications, and whether the hidden hernia later requires surgery. Researchers will measure quality of life 30 days after surgery and monitor wound complications, pain, readmissions, and hernia recurrence over two years. The study also evaluates opioid use and cost effectiveness. Participants can expect follow-up visits to gather health information and track their progress over time.

Watchful Waiting Versus Immediate Repair for Occult Contralateral Inguinal Hernias.