SynthesisHernia : the journal of hernias and abdominal wall surgery2022
Lower recurrence rate after groin and primary ventral hernia repair performed by high-volume surgeons: a systematic review.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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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
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is quantity quality? The impact of surgeon volume on outcomes in inguinal hernia repair: a quantitative systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Understanding the perioperative morbidity associated with concomitant transversus abdominis release in retromuscular ventral hernia repair: a retrospective study.Surgical endoscopy · 2026Article
- The volume-outcome relationship for incisional hernia repair: analysis of an administrative dataset for England.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Longitudinal assessment of recurrence after open versus laparoscopic versus robotic inguinal hernia repair in 272,475 patients.Surgical endoscopy · 2026Article
- What is the relationship between hospital caseload and outcome in incisional hernia repair?-A registry-based analysis of 55,584 patients.Langenbeck's archives 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
- Outcomes after surgical repair of primary parastomal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Observational
- Certified Fellowship in Abdominal Wall Surgery-A Collaboration Between the UEMS and the European Hernia Society.Journal of abdominal wall surgery : JAWS · 2024Review
- Clinical efficacy of laparoscopic treatment of pediatric inguinal hernia: a meta-analysis.American journal of translational research · 2024Review
- Medial incisional ventral hernia repair with AdhesixHernia : the journal of hernias and abdominal wall surgery · 2023Article
- Article
- Robot-assisted groin hernia repair is primarily performed by specialized surgeons: a scoping review.Journal of robotic surgery · 2023Article
- Hernia as a sub-speciality: is it a global solution?Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Current practices in complex abdominal wall reconstruction in the Americas: need for national guidelines?Surgical endoscopy · 2022Article
- Lower reoperation rates after open and laparoscopic groin hernia repair when performed by high-volume surgeons: a nationwide register-based study.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Laparotomy with suture repair is the most common treatment for obturator hernia: a scoping review.Langenbeck's archives of surgery · 2021Article
- Rural surgical and obstetric facility-level outcomes for index procedures: a retrospective cohort study (2016-2021).Canadian journal of surgery. Journal canadien de chirurgieObservational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeHernia repair is a common procedure; however, an overview is lacking regarding the impact of annual surgeon volume and total surgical experience on the outcome of hernia repair. We aimed to explore the impact of annual surgeon volume and total surgical experience on outcomes of groin and primary ventral hernia repair.
methodsThis systematic review followed the Prefered Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. A protocol was registered at PROSPERO (CRD42020176140). PubMed, EMBASE, and Cochrane CENTRAL were searched. We investigated recurrence rates after groin and primary ventral hernia repair reported according to annual surgeon volume or total surgical experience with at least 6 months follow-up. Surgeons were pooled in three overlapping categories: high-volume (> 50 cases/year), medium-volume (11-50 cases/year) and low-volume (≤ 25 cases/year).
resultsTen records for groin hernia and one for primary ventral hernia were included. The median (range) recurrence rates after laparoscopic groin hernia repair for high, medium, and low-volume surgeons were 2.6% (2.3-3.0), 2.4% (0.7-4.6), and 4.2% (1.0-6.8), respectively. The median (range) recurrence rate after open groin hernia repair for high, medium, and low-volume surgeons were 2.1% (2.0-2.2), 1.7% (1.6-2.3), and 2.4% (2.2-5.0). The groin hernia recurrence rate seemed to increase when annual surgeon volume decreased below 25 cases/year. For primary ventral hernia, increased annual surgeon volume was associated with decreased reoperation rate.
conclusionHigh-volume surgeons seemed to have lower rates of hernia recurrence after groin as well as primary ventral hernia repair and our data supports the need for centralization of groin hernia repair on individual surgeons.
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Registered trials
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