ArticleHernia : the journal of hernias and abdominal wall surgery2015
Current practices of laparoscopic inguinal hernia repair: a population-based analysis.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- International guidelines for groin hernia management.Hernia : the journal of hernias and abdominal wall surgery · 2018Guideline
- Ambulatory bilateral groin hernia repair: open preperitoneal versus laparoscopic outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Comparison of open and laparoscopic preperitoneal tension-free repair of groin hernia: a prospective nonrandomized controlled study.Surgical endoscopy · 2025Article
- The mentoring effects of learning curve of total extraperitoneal hernioplasty: the CUSUM analysis of the pioneer and second-generation surgeon.Surgical endoscopy · 2025Article
- A Systematic Review of Open, Laparoscopic, and Robotic Inguinal Hernia Repair: Management of Inguinal Hernias in the 21st Century.Journal of clinical medicine · 2025Article
- Outpatient Surgery and Unplanned Overnight Admission in Bilateral Inguinal Hernia Repair: A Population-based Study.Langenbeck's archives of surgery · 2024Observational
- Mesh-based inguinal hernia repairs in an integrated healthcare system and surgeon and hospital volume: a cohort study of 110,808 patients from over a decade.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- An international survey of 1014 hernia surgeons: outcome of GLACIER (global practice of inguinal hernia repair) study.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Trends and outcomes of open, laparoscopic, and robotic inguinal hernia repair in the veterans affairs system.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- The Myopectineal Orifice: A Study of Thai Cadavers.Frontiers in surgery · 2022Article
- A 19 year population-based cohort study analysing reoperation for recurrence following laparoscopic and open inguinal hernia repairs.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Development and evaluation of a novel simulation model for transabdominal preperitoneal (TAPP) inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Mechanisms of age and race differences in receiving minimally invasive inguinal hernia repair.Surgical endoscopy · 2019Article
- Predictors of laparoscopic versus open inguinal hernia repair.Surgical endoscopy · 2019Article
- Reoperation for inguinal hernia recurrence in Ontario: a population-based study.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Surgeon utilization of minimally invasive techniques for inguinal hernia repair: a population-based study.Surgical endoscopy · 2019Article
- A matched comparison of laparoscopic versus open inguinal hernia repair in patients with liver disease using propensity score matching.Hernia : the journal of hernias and abdominal wall surgery · 2018Article
- Long-term quality of life and outcomes following robotic assisted TAPP inguinal hernia repair.Journal of robotic surgery · 2018Article
- A structured, extended training program to facilitate adoption of new techniques for practicing surgeons.Surgical endoscopy · 2018Article
- Comparison of single- versus multicenter outcomes for pelvic organ prolapse repair using a mesh-capturing device.International urogynecology journal · 2018Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe selection of a laparoscopic approach for inguinal hernias varies among surgeons. It is unclear what is being done in actual practice. The purpose of this study was to report practice patterns for treatment of inguinal hernias among Quebec surgeons, and to identify factors that may be associated with the choice of operative approach.
methodsWe studied a population-based cohort of patients who underwent an inguinal hernia repair between 2007 and 2011 in Quebec, Canada. A generalized linear model was used to identify predictors associated with the selection of a laparoscopic approach.
results49,657 inguinal hernias were repaired by 478 surgeons. Laparoscopic inguinal hernia repair (LIHR) was used in 8 % of all cases. LIHR was used to repair 28 % of bilateral hernias, 10 % of recurrent hernias, 6 % of unilateral hernias, and 4 % of incarcerated hernias. 268 (56 %) surgeons did not perform any laparoscopic repairs, and 11 (2 %) surgeons performed more than 100 repairs. These 11 surgeons performed 61 % of all laparoscopic cases. Patient factors significantly associated with having LIHR included younger age, fewer comorbidities, bilateral hernias, and recurrent hernias.
conclusionAn open approach is favored for all clinical scenarios, even for situations where published guidelines recommend a laparoscopic approach. Surgeons remain divided on the best technique for inguinal hernia repair: while more than half never perform LIHR, the small proportion who perform many use the technique for a large proportion of their cases. There appears to be a gap between the best practices put forth in guidelines and what surgeons are doing in actual practice. Identification of barriers to the broader uptake of LIHR may help inform the design of educational programs to train those who have the desire to offer this technique for certain cases, and have the volume to overcome the learning curve.
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