ReviewInnovative surgical sciences2017
Risk factors for perioperative complications in inguinal hernia repair - a systematic review.
Review in Innovative surgical sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
45 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Mesh fixation versus non-fixation in totally extraperitoneal inguinal hernia repair: a systematic review and meta-analysis of randomized controlled trials.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- The safety of polypropylene mesh in repairing incarcerated or strangulated hernias with organ resection.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Intestinal erosions following inguinal hernia repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Continuation of low-dose acetylsalicylic acid during perioperative period of laparoscopic inguinal hernia repair is safe: results of a prospective clinical trial.Hernia : the journal of hernias and abdominal wall surgery · 2019Trial
- Postoperative outcomes of inguinal hernia repair performed by surgical residents in routine clinical practice: a retrospective single-center analysis.Innovative surgical sciences · 2026Article
- Emergency vs. elective inguinal hernia repairs: early differences with similar long-term outcomes.Updates in surgery · 2026Article
- Retrospective empirical analysis of the success rate of inguinal hernia operations in outpatient and inpatient sectors: a cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Clinical Heterogeneity in Inguinal Hernia Repair and the Need for Tailored Management: A Retrospective Observational Study of Postoperative Complications and Hospitalization Duration.Journal of clinical medicine · 2026Article
- Relationship of timing of surgical intervention on clinical outcomes in adults with inguinal hernias: a retrospective observational study in hospitals of northern West Bank.Annals of medicine and surgery (2012) · 2025Article
- Extended-view totally extraperitoneal repair for ventral hernias: a retrospective analysis of perioperative outcomes and the role of ASA score.Langenbeck's archives of surgery · 2025Article
- Successful Endovascular Embolization for Hemorrhage from Superficial Inferior Epigastric Artery after Inguinal Hernia Repair: A Case Report.Journal of the Korean Society of Radiology · 2025Article
- The effect of mesh type on pain, quality of life and postoperative complications in patients undergoing total extraperitoneal (TEP) technique for laparoscopic inguinal hernia repair.Updates in surgery · 2025Article
- Impact of the COVID-19 Pandemic on the Management of Groin Hernia Repairs: A Nationwide Population-Based Study From the Swedish Hernia Register.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Inguinal Hernia Repair Using Absorbable Biosynthetic Mesh Versus Permanent Polypropylene Mesh: A Preliminary Comparative Study of 1-Year Outcomes.Journal of abdominal wall surgery : JAWS · 2025Article
- Prospective comparison of two surgical approaches for incarcerated and strangulated inguinal hernia: preperitoneal hernioplasty through the lower abdominal median incision and laparoscope (TAPP).Updates in surgery · 2024Article
- Laparoscopic totally extraperitoneal hernia repair in patients with a history of previous abdominopelvic surgery.Updates in surgery · 2024Article
- Influence of dental status on postoperative complications in major visceral surgical and organ transplantation procedures-the bellydent retrospective observational study.Langenbeck's archives of surgery · 2024Observational
- Open vs. robot-assisted preperitoneal inguinal hernia repair. Are they truly clinically different?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Variability in surgical approaches to hernias in patients with ascites.Surgical endoscopy · 2024Article
- Quality of Surgical Care Within the Criminal Justice Health Care System.JAMA surgery · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The current literature suggests that perioperative complications occur in 8%-10% of all inguinal hernia repairs. However, the clinical relevance of these complications is currently unknown. In our review, based on 571,445 hernia repairs reported in 39 publications, we identified the following potential risk factors: patient age, ASA score, diabetes, smoking, mode of admission (emergency vs. elective surgery), surgery in low resource settings, type of anesthesia, and (in men) bilateral and sliding hernias. The most commonly reported complications are bleeding (0.9%), wound infection (0.5%), and pulmonary and cardiovascular complications (0.2%). In 3.9% of the included publications, a reliable grading of the reported complications according to Clavien-Dindo classification was possible. Using this classification retrospectively, we could show that, in patients with complications, these are clinically relevant for about 22% of these patients (Clavien-Dindo grade ≥IIIa). About 78% of all patients suffered from complications needing only minor (meaning mostly medical) intervention (Clavien-Dindo grade <III). Especially with regard to the low incidence of complications in inguinal hernia repair, future studies should use the Clavien-Dindo classification to achieve better comparability between studies, thus enabling better correlation with potential risk factors.
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