1-year Left Groin Bulge in Surgery — 68yo Man | General Surgery | SMLE Q#12279
SMLE Question #12279
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 68-year-old man presents with a 1-year history of a left groin bulge that enlarges on standing and coughing and reduces when supine. He has mild discomfort, no obstructive symptoms, and no prior abdominal surgery. Examination shows an easily reducible, non-tender left inguinal hernia without skin changes or peritonism. He requests elective definitive repair and prefers to avoid general anaesthesia if possible. What is the most appropriate management?
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