Walking in Surgery — 72yo Woman | General Surgery | SMLE Q#12042
SMLE Question #12042
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 72-year-old woman reports a progressively enlarging bulge at the site of a midline laparotomy done 4 years ago for sigmoidectomy. The bulge is reducible and causes discomfort with walking and exercise. She has no nausea, vomiting, or change in bowel habits. Examination shows a reducible midline incisional hernia with a cough impulse and mild tenderness, with no overlying skin changes. What is the most appropriate management?
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