ArticleHernia : the journal of hernias and abdominal wall surgery2021
Lower reoperation rates after open and laparoscopic groin hernia repair when performed by high-volume surgeons: a nationwide register-based study.
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 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- 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
- Longitudinal assessment of recurrence after open versus laparoscopic versus robotic inguinal hernia repair in 272,475 patients.Surgical endoscopy · 2026Article
- Observational
- Anatomical variations of the ilioinguinal, iliohypogastric, and genitofemoral nerves: a systematic scoping review of cadaver studies.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
- Outcomes During the Learning Curve and Feasibility of Implementing the European Hernia Society Recommendation Guidelines for Robotic Abdominal Wall Surgery Within a UK Centre.Journal of abdominal wall surgery : JAWS · 2025Article
- Observational
- A new groin hernia classification with clinical relevance.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Certified Fellowship in Abdominal Wall Surgery-A Collaboration Between the UEMS and the European Hernia Society.Journal of abdominal wall surgery : JAWS · 2024Review
- Separating the components of an abdominal wall fellowship.Annals of the Royal College of Surgeons of England · 2024Article
- 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
- Robot-assisted groin hernia repair is primarily performed by specialized surgeons: a scoping review.Journal of robotic surgery · 2023Article
- Risk of Reoperation for Recurrence After Elective Primary Groin and Ventral Hernia Repair by Supervised Residents.JAMA surgery · 2023Article
- Rural surgical and obstetric facility-level outcomes for index procedures: a retrospective cohort study (2016-2021).Canadian journal of surgery. Journal canadien de chirurgieObservational
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePrevious studies have shown a correlation between surgeons with high annual volume and better outcomes after various surgical procedures. However, the preexisting literature regarding groin hernia repair and annual surgeon volume is limited. The aim was to investigate how annual surgeon volume affected the reoperation rates for recurrence after primary groin hernia repair.
methodsThis nationwide cohort study was based on data from the Danish Hernia Database and the Danish Patient Safety Authority's Online Register. Patients ≥ 18 years undergoing laparoscopic or Lichtenstein primary groin hernia repair between November 2011 and January 2020 were included. Annual surgeon volume was divided into five categories: ≤ 10, 11-25, 26-50, 51-100, and > 100 cases/year.
resultsWe included 25,262 groin hernia repairs performed in 23,088 patients. The risk of reoperation for recurrence after Lichtenstein repair was significantly higher for the volume categories of ≤ 10 (HR 4.02), 11-25 (HR 3.64), 26-50 (HR 3.93), or 51-100 (HR 4.30), compared with the > 100 category. The risk of reoperation for recurrence after laparoscopic repair was significantly increased for the volume categories of ≤ 10 (HR 1.89), 11-25 (HR 2.08), 26-50 (HR 1.80), and 51-100 (HR 1.58) compared with the > 100 category.
conclusionThe risk of reoperation for recurrence was significantly higher after Lichtenstein and laparoscopic repairs performed by surgeons with < 100 cases/year compared with > 100 cases/year. This indicates that higher surgeon volume minimizes the risk of reoperation for recurrence after groin hernia repair.
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