ArticleHernia : the journal of hernias and abdominal wall surgery2021
Differences in the outcomes of scrotal vs. lateral vs. medial inguinal hernias: a multivariable analysis of registry data.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 19 citations in OpenAlex.
- Management of an Amyand's hernia complicated by necrotizing soft tissue infection: a case report.Journal of surgical case reports · 2026Article
- The application of internal ring closure in laparoscopic transabdominal preperitoneal (TAPP) repair for large indirect inguinal hernias: a retrospective study of 162 cases.Langenbeck's archives of surgery · 2026Article
- Review
- Inguinoscrotal hernia repair: analysis of the national EVEREG registry.Journal of abdominal wall surgery : JAWS · 2026Article
- Comparison of enhanced view-totally extraperitoneal technique and totally extraperitoneal technique in S1 scrotal hernia repair.Turkish journal of 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
- Three-Arm Registry-Based Comparison of Trans-Inguinal-Pre-Peritoneal, Laparoscopic, and Lichtenstein Techniques for Scrotal Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Article
- Are "European" Scrotal Hernias Repairable With the Minimal Open Pre-Peritoneal Technique?Journal of abdominal wall surgery : JAWS · 2025Article
- First Evaluation of the TREPP Procedure for Inguinoscrotal Hernia Repair: A Step-Up Study.Journal of abdominal wall surgery : JAWS · 2025Article
- To close, not to close, or to act bigger? Managing the defect of large direct inguinal hernia to reduce the risk of recurrence during laparoscopic TAPP repair: a retrospective cohort study.Updates in surgery · 2024Article
- Open vs. robot-assisted preperitoneal inguinal hernia repair. Are they truly clinically different?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Article
- Technical aspects of inguino scrotal hernia surgery in developing countries.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Systematic Review and Guidelines for Management of Scrotal Inguinal Hernias.Journal of abdominal wall surgery : JAWS · 2023Article
- Association of Mesh and Fixation Options with Reoperation Risk after Laparoscopic Groin Hernia Surgery: A Swedish Hernia Registry Study of 25,190 Totally Extraperitoneal and Transabdominal Preperitoneal Repairs.Journal of the American College of Surgeons · 2022Article
- Trends in Emergent Groin Hernia Repair-An Analysis From the Herniamed Registry.Frontiers in surgery · 2021Article
- Do drains have an impact on the outcome after primary elective unilateral inguinal hernia repair in men?Hernia : the journal of hernias and abdominal wall surgery · 2020Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere are hardly any studies on the outcome of scrotal compared with medial and lateral inguinal hernias. Therefore, this present multivariable analysis of data from the Herniamed Registry compared the outcome of scrotal vs. lateral vs. medial inguinal hernias and explored the relationship between hernia localization and outcomes.
methodsIncluded in the analysis were all primary elective unilateral inguinal hernias in men with scrotal, lateral or medial defect localization whose details had been entered into the Herniamed Registry by 712 participating institutions (status February 1, 2019). The relation of the hernia localization with the outcome parameters adjusted for pre-defined confounding patient- and procedure-related variables was analyzed via multivariable binary logistic models.
resultsDetails of 98,321 patients were thus available for multivariable analysis. These related to 65,932 (67.1%) lateral, 29,697 (30.2%) medial and 2,710 (2.7%) scrotal inguinal hernias. Scrotal hernias were associated with higher patient age, higher BMI, higher ASA score, larger defect, more risk factors and more frequent use of Lichtenstein repair. On the other hand, scrotal hernias were associated less commonly with preoperative pain. Multivariable analysis revealed that scrotal hernias had a highly significantly unfavorable association with postoperative complications, complication-related reoperations and general complications. But scrotal hernias had a highly significantly favorable relation with the pain rates at 1-year follow-up. Medial hernias were the hernia type most often related with recurrence and also had an unfavorable association with the pain rates at 1-year follow-up.
conclusionScrotal inguinal hernias demonstrated a very unfavorable relation with the postoperative complication rate, the rate of complication-related reoperations and the rate of general complications. But a very favorable association with chronic pain rates was identified at 1-year follow-up. Medial inguinal hernia had an unfavorable relation with the recurrence and pain rates.
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