Evidence map›Paper›PMID 37862616›Full record

ArticleBJS open2023

Update of the international HerniaSurge guidelines for groin hernia management.

Cesare Stabilini, Nadine van Veenendaal, Eske Aasvang, Ferdinando Agresta, Theo Aufenacker, Frederik Berrevoet, Ine Burgmans, David Chen, Andrew de Beaux, Barbora East and 22 more

Erratum issued Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJS open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06915155 (Safety and Efficacy of the Swing-Mesh™ Implant), which is not on this map. Cited by 169 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
169citing papers in PubMed, 14 pooled it
59.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06915155 active not recruitingnot on this mapstarted 2025, after this paper: background citation

Safety and Efficacy of the Swing-Mesh™ Implant (THT BioScience™, B. Braun™, France) in Laparoscopic-endoscopic Inguinal Hernia Repair - a Multicenter, Cohort, Prospective Observational Study.

TypeobservationalSponsorSwissmed HospitalRan2025 to 2026Enrolled300ConditionsInguinal HerniaArmsSwing-Mesh™
3 · Its place in the literature

Who cites it

169 citing papers in PubMed, 14 syntheses or guidelines pooled it, 187 citations in OpenAlex.

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109 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors at 20 institutions in 13 countries.

Cesare StabiliniDepartment of Surgery (DISC), University of Genoa, Genoa, Italy.ORCID 0000-0002-5410-0352
Nadine van VeenendaalDepartment of Anaesthesiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
Eske AasvangDepartment of Anaesthesiology, The Centre for Cancer and Organ Diseases, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-7131-2461
Ferdinando AgrestaDepartment of Surgery, Vittorio Veneto General Hospital, Vittorio Veneto, Italy.
Theo AufenackerDepartment of Surgery, Rijnstate Hospital, Arnhem, The Netherlands.
Frederik BerrevoetDepartment of Surgery, University Hospital Ghent, Ghent, Belgium.ORCID 0000-0002-3575-5345
Ine BurgmansDepartment of Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
David ChenDavid Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Andrew de BeauxDepartment of Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
Barbora EastDepartment of Surgery, Fakultní Nemocnice v Motole, Prague, Czech Republic.ORCID 0000-0003-0112-1747
Jose Garcia-AlaminoDepartment of Surgery, Universitat Ramon Llull, Barcelona, Spain.
Nadia HenriksenDepartment of Gastrointestinal and Hepatic Diseases, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.ORCID 0000-0002-1805-9866
Ferdinand KöckerlingVivantes Hospital Berlin, Academic Teaching Hospital of Charité University Medicine, Berlin, Germany.ORCID 0000-0003-3470-7322
Jan KukletaDepartment of Surgery, Klinik Im Park, Zurich, Zurich, Switzerland.
Maarten LoosSolviMáx Centre of Excellence for Abdominal Wall and Groin Pain, Eindhoven, The Netherlands.
Manuel Lopez-CanoDepartment of Surgery, Hospital Universitari Vall d'Hebron, Barcelona, Spain.ORCID 0000-0003-3337-0756
Ralph LorenzDepartment of Surgery, Hernia Center 3+CHIRURGEN, Berlin, Germany.
Marc MiserezDepartment of Surgery, KU Leuven-University Hospital Leuven, Leuven, Belgium.ORCID 0000-0002-7047-6114
Agneta MontgomeryDepartment of Surgery, Skåne University Hospital, Malmö, Sweden.
Salvador Morales-CondeDepartment of Surgery, Universidad de Sevilla, Sevilla, Spain.ORCID 0000-0003-2833-0717
Chris OppongDepartment of Surgery, Derriford Hospital Plymouth, Plymouth, UK.
Maciej PawlakNorth Devon Comprehensive Hernia Centre, North Devon District Hospital, Royal Devon University Healthcare NHS Foundation Trust, Barnstaple, UK.
Mauro PoddaDepartment of Surgery, Azienda Ospedaliero Universitaria di Cagliari, Cagliari, Italy.
Wolfgang ReinpoldDepartment of Surgery, Gross-Sand Hospital Hamburg, Hamburg, Germany.
David SandersNorth Devon Comprehensive Hernia Centre, North Devon District Hospital, Royal Devon University Healthcare NHS Foundation Trust, Barnstaple, UK.
Alberto SartoriDepartment of Surgery, Ospedale Civile di Montebelluna, Montebelluna, Italy.
Hanh Minh TranWestmead Clinical School, Sydney Medical School, University of Sydney, New Galles, Australia.
Mireia VerdaguerDepartment of Surgery, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Reiko WiessnerDepartment of Surgery, Bodden-Kliniken Ribnitz-Damgarten GmbH, Ribnitz-Damgarten, Germany.
Michael YeboahDepartment of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, P.M.B., Kumasi, West Africa.
Willem ZwaansSolviMáx Centre of Excellence for Abdominal Wall and Groin Pain, Eindhoven, The Netherlands.ORCID 0000-0003-2700-5621
Maarten SimonsDepartment of Surgery, Onze Lieve Vrouwe Gasthuis Hospital, Amsterdam, The Netherlands.
North Devon District Hospital · GBRadboud University Nijmegen · NLVall d'Hebron Hospital Universitari · ESAzienda Ospedaliero-Universitaria Cagliari · ITDerriford Hospital · GBEdinburgh Royal Infirmary · GBGentofte Hospital · DKGhent University Hospital · BEHirslanden Klinik Im Park · CHKU Leuven · BEKwame Nkrumah University of Science and Technology · GHOLVG · NLOspedale Civile di Vittorio Veneto · ITRijnstate Hospital · NLSkåne University Hospital · SEThe University of Sydney · AUUniversidad de Sevilla · ESUniversitat Ramon Llull · ESUniversity Hospital in Motol · CZUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGroin hernia repair is one of the most common operations performed globally, with more than 20 million procedures per year. The last guidelines on groin hernia management were published in 2018 by the HerniaSurge Group. The aim of this project was to assess new evidence and update the guidelines. The guideline is intended for general and abdominal wall surgeons treating adult patients with groin hernias.

methodA working group of 30 international groin hernia experts and all involved stakeholders was formed and examined all new literature on groin hernia management, available until April 2022. Articles were screened for eligibility and assessed according to GRADE methodologies. New evidence was included, and chapters were rewritten. Statements and recommendations were updated or newly formulated as necessary.

resultsTen chapters of the original HerniaSurge inguinal hernia guidelines were updated. In total, 39 new statements and 32 recommendations were formulated (16 strong recommendations). A modified Delphi method was used to reach consensus on all statements and recommendations among the groin hernia experts and at the European Hernia Society meeting in Manchester on October 21, 2022.

conclusionThe HerniaSurge Collaboration has updated the international guidelines for groin hernia management. The updated guidelines provide an overview of the best available evidence on groin hernia management and include evidence-based statements and recommendations for daily practice. Future guideline development will change according to emerging guideline methodology.

Indexed as

Abdominal WallHernia, InguinalAdultGroinHumansSurgical Mesh

Identifiers

PMID37862616
PMCPMC10588975
OpenAlexW4387800526

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.