Updated statements and recommendations

TextLevel of evidenceStrength of recommendation
KQ
StatementThe repair of a concomitant occult hernia can increase the overall surgical risk of the procedure because of the second procedure but can avoid a second operation for the patient with the cost and anaesthetic risk.☒☒☐☐
StatementThe risk of progression from occult to symptomatic clinical defect is unknown but possible at a rate of 1.2% per year.☒☐☐☐
RecommendationThe decision whether to perform the repair of an occult contralateral hernia identified during a laparo-endoscopic repair of a unilateral hernia should be discussed with the patient at the time of informed consent.☒☐☐☐Weak
TextLevel of evidenceStrength of recommendation
KQ
StatementThe repair of a concomitant occult hernia can increase the overall surgical risk of the procedure because of the second procedure but can avoid a second operation for the patient with the cost and anaesthetic risk.☒☒☐☐
StatementThe risk of progression from occult to symptomatic clinical defect is unknown but possible at a rate of 1.2% per year.☒☐☐☐
RecommendationThe decision whether to perform the repair of an occult contralateral hernia identified during a laparo-endoscopic repair of a unilateral hernia should be discussed with the patient at the time of informed consent.☒☐☐☐Weak

Updated statements and recommendations

TextLevel of evidenceStrength of recommendation
KQ
StatementThe repair of a concomitant occult hernia can increase the overall surgical risk of the procedure because of the second procedure but can avoid a second operation for the patient with the cost and anaesthetic risk.☒☒☐☐
StatementThe risk of progression from occult to symptomatic clinical defect is unknown but possible at a rate of 1.2% per year.☒☐☐☐
RecommendationThe decision whether to perform the repair of an occult contralateral hernia identified during a laparo-endoscopic repair of a unilateral hernia should be discussed with the patient at the time of informed consent.☒☐☐☐Weak
TextLevel of evidenceStrength of recommendation
KQ
StatementThe repair of a concomitant occult hernia can increase the overall surgical risk of the procedure because of the second procedure but can avoid a second operation for the patient with the cost and anaesthetic risk.☒☒☐☐
StatementThe risk of progression from occult to symptomatic clinical defect is unknown but possible at a rate of 1.2% per year.☒☐☐☐
RecommendationThe decision whether to perform the repair of an occult contralateral hernia identified during a laparo-endoscopic repair of a unilateral hernia should be discussed with the patient at the time of informed consent.☒☐☐☐Weak
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