ArticleHernia : the journal of hernias and abdominal wall surgery2022
What is the reality in outpatient vs inpatient groin hernia repair? An analysis from the Herniamed Registry.
Article 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 11 papers.
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Who cites it
11 citing papers in PubMed, 16 citations in OpenAlex.
- Robotic versus laparoscopic minimally invasive inguinal hernia repair: randomized clinical trial (the ROGER trial).The British journal of surgery · 2025Trial
- Article
- State of groin hernia repair in Japan: Annual Report of 2022 from the National Clinical Database.Surgery today · 2025Article
- Value and relevance of routine postoperative blood sample analysis after general surgery-a single centre analysis of 1198 patients.Langenbeck's archives of surgery · 2025Article
- [Outpatient treatment for hernia surgery in Germany].Chirurgie (Heidelberg, Germany) · 2024Review
- Mis-identified complications after groin hernia repair: concerns for results, research, and registries?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Outpatient Surgery and Unplanned Overnight Admission in Bilateral Inguinal Hernia Repair: A Population-based Study.Langenbeck's archives of surgery · 2024Observational
- [Inguinal hernia operations-Always outpatient?]Chirurgie (Heidelberg, Germany) · 2023Review
- Article
- Outpatient inguinal hernia repair in Spain: a population-based study of 1,163,039 patients-clinical and socioeconomic factors associated with the choice of day surgery.Updates in surgery · 2023Article
- What is the reality in outpatient vs inpatient groin hernia repair? An analysis from the Herniamed Registry.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
Corrections and comments
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Authors and funding
13 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionGroin hernia repair is performed increasingly more often as an outpatient procedure across the world. However, the rates are extremely different and vary between below 10% and above 90%. The outpatient procedure appears to negatively impact the proportion of laparo-endoscopic repairs. To date, only very few studies have compared inpatient vs outpatient groin hernia repair.
methodsAll outpatient and inpatient primary elective unilateral groin hernia repairs performed between 2010 and 2019 were identified in the Herniamed Registry and their treatment and outcomes compared.
resultsThe 737 participating hospitals/surgeons performed a total of 342,072 primary elective unilateral groin hernia repairs from 2010 to 2019. The proportion of outpatient repairs was 20.2% in 2013 and 14.3% in 2019. Whereas the proportion of laparo-endoscopic repairs among the inpatient cases was 71.9% in 2019, the last year for which data are available, it was only 34.3%.for outpatient repairs. In outpatient groin hernia repairs, the rates of patients aged ≥ 60 years, with ASA score III and IV and risk factors were highly significantly lower. Given this rigorous patient selection for outpatient groin hernia repair, a more favorable perioperative outcome was achieved. At 1-year follow-up there were no significant differences in the pain and recurrence rates.
conclusionWith an appropriate patient selection, outpatient primary elective unilateral groin hernia repair can be performed with acceptable risks and good outcomes. Since to date no studies have compared inpatient vs outpatient groin hernia repair, the impact of a higher rate of outpatient groin hernia repair cannot currently be evaluated.
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