Right Groin Bulge in Surgery — 60yo Man | General Surgery | SMLE Q#16987

SMLE Question #16987

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: February 2026
A 60-year-old man presents with a right groin bulge for 1 year. It becomes more prominent with coughing or straining and reduces completely when he lies down. He reports mild discomfort and cosmetic concern. He has had no episodes of bowel obstruction and no irreducibility. Examination shows a reducible right inguinal hernia without skin changes or tenderness. He has well-controlled hypertension, good functional status, and no major cardiopulmonary disease. What is the most appropriate next step in management?

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