ArticleHernia : the journal of hernias and abdominal wall surgery2020
Hospital volume and outcome in inguinal hernia repair: analysis of routine data of 133,449 patients.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis 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.
The trial behind it
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
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Total extraperitoneal (TEP) versus laparoscopic transabdominal preperitoneal (TAPP) hernioplasty: systematic review and trial sequential analysis of randomized controlled trials.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Laparoscopic inguinal hernia repair with self-fixated meshes: a randomized controlled trial.Surgical endoscopy · 2025Trial
- The effect of mesh fixation on migration and postoperative pain in laparoscopic TEP repair: prospective randomized double-blinded controlled study.Hernia : the journal of hernias and abdominal wall surgery · 2023Trial
- Risk factors for long-term analgesic prescription after hip or knee arthroplasty for osteoarthritis: results of a multivariable regression analysis based on health insurance claims data from 137,875 patients with postoperative inpatient rehabilitation.BMC musculoskeletal disorders · 2026Article
- Equivalent outcomes after elective inguinal hernia repair for patients living near and far from care.Surgical endoscopy · 2026Article
- Longitudinal assessment of recurrence after open versus laparoscopic versus robotic inguinal hernia repair in 272,475 patients.Surgical endoscopy · 2026Article
- Redo TEP in recurrent inguinal hernia After TEP/TAPP: Outcomes and feasibility.Hernia : the journal of hernias and abdominal wall 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
- [Operative treatment of recurrent inguinal hernias after endoscopic pre-operation using the TEP technique (RE-TEP)].Chirurgie (Heidelberg, Germany) · 2026Article
- Emergent groin hernia repair in a tertiary government hospital in the Philippines: a 7-year review of case profiles, management practices, and post-operative outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- A global registry-based analysis of clinical trials on robotic-assisted inguinal hernia repair: current landscape and research gaps.Journal of robotic surgery · 2025Review
- Risk of adverse outcomes by plug and flat mesh following 90,319 open inguinal hernia repairs.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Is the annual hospital volume associated with recurrence and chronic postoperative inguinal pain (CPIP) syndrome after inguinal hernia repair in laparo-endoscopic or open mesh technique (Lichtenstein)?Surgical endoscopy · 2025Article
- [Outpatient treatment for hernia surgery in Germany].Chirurgie (Heidelberg, Germany) · 2024Review
- Observational
- Is surgeon annual case volume related with intra and postoperative complications after ventral hernia repair? Uni- and multivariate analysis of prospective registry-based data.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- An Unusual Postoperative Complication Following Bilateral Inguinal Hernioplasty: A Pocket Hernia Case Report.Cureus · 2024Article
- Factors associated with conversion from day-case to in-patient elective inguinal hernia repair surgery across England: an observational study using administrative data.Hernia : the journal of hernias and abdominal wall surgery · 2024Observational
- Temporal patterns for inguinal hernia recurrence operations after Shouldice Repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Nationwide analysis of open groin hernia repairs in Italy from 2015 to 2020.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
Corrections and comments
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Authors and funding
11 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInguinal hernias are repaired using either open or minimally invasive surgical techniques. For both types of surgery it has been demonstrated that a higher annual surgeon volume is associated with a lower risk of recurrence. This present study investigated the volume-outcome implications for recurrence operations, surgical complications, rate of chronic pain requiring treatment, and 30-day mortality based on the hospital volume. MATERIALS AND
methodsThe data basis used was the routine data collected throughout the Federal Republic of Germany for persons insured by the Local General Sickness Fund "AOK" who had undergone inpatient inguinal hernia repair between 2013 and 2015. Complications were recorded by means of indicators. Hospitals were divided into five groups on the basis of the annual caseload volume: 1-50, 51-75, 76-100, 101-125, and ≥ 126 inguinal hernia repairs per year. The effect of the hospital volume on the indicators was assessed using multiple logistic regression.
results133,449 inguinal hernia repairs were included. The incidence for recurrence operations was 0.95%, for surgical complications 4.22%, for chronic pain requiring treatment 2.87%, and for the 30-day mortality 0.28%. Low volume hospitals (1-50 and 51-75 inguinal hernia repairs per year) showed a significantly increased recurrence risk compared to high volume hospitals with ≥ 126 inguinal hernia repairs per year (odds ratio: 1.53 and 1.24). No significant correlations were found for the other results.
conclusionsThe study gives a detailed picture of hospital care for inguinal hernia repair in Germany. Furthermore, it was noted that the risk of hernia recurrence decreases in line with a rising caseload of the treating hospital.
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