ArticleHernia : the journal of hernias and abdominal wall surgery2010
Litigation following groin hernia repair in England.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Pooled it
- Civil medical liability in general surgery: A systematic review.Surgery open science · 2026Review
- Medico-legal case series of litigation involving chronic post-herniorrhaphy inguinal pain: insights from Italian civil verdicts.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Patient's Perception of the Role of Gym Activity in Abdominal Wall Herniation in Adults: A Prospective Study.Sports medicine - open · 2024Article
- Chronic groin pain following open inguinal hernia repair: has consenting practice improved?Annals of the Royal College of Surgeons of England · 2021Article
- Litigation claims following laparoscopic and open inguinal hernia repairs.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Patient's views of the consent process for groin hernia repair: Use of consent template improves compliance with best practice (Original research).Annals of medicine and surgery (2012) · 2018Article
- Pre-made consent for elective inguinal hernia repair: the need for standardisation-a survey of all UK NHS Trusts.Hernia : the journal of hernias and abdominal wall surgery · 2018Article
- Patient perception of laparoscopic versus open mesh repair of inguinal hernia, the hard sell.Hernia : the journal of hernias and abdominal wall surgery · 2012Article
- NICE guidance and current practise of recurrent and bilateral groin hernia repair by Scottish surgeons.Hernia : the journal of hernias and abdominal wall surgery · 2011Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSince 1995, litigation following surgical procedures has cost the National Health Service (NHS) over 1.3 billion GBP (Great British Pounds)/2.1 billion USD (United States Dollars)/1.4 billion Euros. Despite it being the most commonly undertaken general surgical operation, no study has examined clinical negligence claims in England following groin hernia repairs.
methodsData from the NHS Litigation Authority of all claims made from 1995 to 2009 was obtained and interrogated.
resultsIn total, 398 claims were made. Of these, 209 cases had been settled, of which 144 (46.6%) were in favour of the claimant to a cost of 7.35 million GBP/12 million USD/7.93 million Euros. Testicular injury and chronic pain featured in 40% of all claims. Visceral injuries and injuries requiring corrective procedures were the only predictors of a successful claim (P = 0.015 and P = 0.002, respectively). Claims associated with visceral and vascular injuries were more likely to occur in laparoscopic than in open repairs. Sexual dysfunction and chronic pain resulted in the highest average payouts of 85,467 GBP/140,565 USD/92,177 Euros and 81,288 GBP/133,693 USD/87,674 Euros, respectively.
conclusionPatients should be fully informed of the incidence of testicular injury and chronic pain during the consent process. Approaches minimising visceral and vascular injury particularly in laparoscopic repair should be adopted to reduce litigation and improve patient care.
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