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September 24, 1997

A 65-Year-Old Man With an Inguinal Hernia, 1 Year Later

JAMA. 1997;278(12):1021. doi:10.1001/jama.1997.03550120081038

In October 1996, Dr George E. Wantz discussed the management of a 65-year-old man with a large right-sided inguinal hernia.1 Physically active and healthy, he had a left-sided hernia as a child and developed a hernia on the right side in 1961 that grew in size. There were mild symptoms of discomfort after sitting, but no history suggestive of incarceration. Dr Wantz discussed the diagnosis and management of groin hernias, suggesting that the patient would be best served by undergoing repair soon with a tension-free technique.

In January 1997, the patient had elective surgery. With the patient under local anesthesia, the surgeon found a direct inguinal hernia and repaired it using a tension-free modified Shouldice technique.

MR K, THE PATIENT  When I had the other hernia repair I was 8.I had to stay in bed for 6 weeks, and I had quite a lot of pain. They used clamps