Progressively Enlarging in Surgery — 72yo Woman | General Surgery | SMLE Q#18726
SMLE Question #18726
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: March 2026
A 72-year-old woman presents with a progressively enlarging, painful bulge at a midline laparotomy scar 5 months after open sigmoidectomy. Pain worsens with coughing and standing and the bulge reduces when supine. She has type 2 diabetes and obesity. She has no vomiting or obstipation. Examination shows a 6-cm reducible incisional hernia with mild tenderness and no skin changes or peritonitis. What is the most appropriate next step in management?
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