Abstract
Background: Asymptomatic umbilical hernias are often repaired electively, however there are no high-quality studies defining benefits of elective repair compared to watchful waiting. Low evidence studies suggest that elective repairs are safer than emergencies, with 30-day readmission rates of 5.9% compared to 18.8% in emergency surgery. 16% of those managed conservatively require surgery within 5 years, 3.9% as emergencies.
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