ArticleHernia : the journal of hernias and abdominal wall surgery2024
Is surgeon annual case volume related with intra and postoperative complications after ventral hernia repair? Uni- and multivariate analysis of prospective registry-based data.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- 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
- Short-term outcomes after robot-assisted retromuscular versus laparoscopic intraperitoneal onlay mesh repair of small-to-medium ventral hernias: a prospective, multicenter, propensity score-matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- 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
- 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
- Is surgeon annual case volume related with intra and postoperative complications after ventral hernia repair? Authors' reply.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Comment to: Is surgeon annual case volume related with intra and postoperative complications after ventral hernia repair?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Tale of Two Centres-Exploring Bedside Challenges to Implementing a Clinical Quality Registry for Abdominal Wall Hernias in Metropolitan Australia.ANZ journal of surgeryArticle
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6 authors.
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Abstract
backgroundLiterature on a potential relationship between surgeon case volume and intra- or postoperative complications after ventral hernia repair remains scarce.
methodsPatients who underwent ventral hernia repair between 2011 and 2023 were selected from the prospectively maintained French Hernia-Club Registry. Outcome variables were: intraoperative events, postoperative general complications, surgical site occurrences, surgical site infections, length of intensive care unit (ICU), and patient-reported scar bulging during follow-up. Surgeons' annual case volume was categorized as 1-5, 6-50, 51-100, 101-125, and > 125 cases, and its association with outcome volume was evaluated using uni- and multivariable analyses.
resultsOver the study period, 199 titular or temporary members registered 15,332 ventral hernia repairs, including 7869 primary, 6173 incisional, and 212 parastomal hernia repairs. In univariate analysis, surgeons' annual case volume was significantly related with all the postoperative studied outcomes. After multivariate regression analysis, annual case volume remained significantly associated with intra-operative complications, postoperative general complications and length of ICU stay. A primary repair was independently associated with fewer intra- and post-operative complications.
conclusionIn the present multivariable analysis of a large registry on ventral hernia repairs, higher surgeon annual case volume was significantly related with fewer postoperative general complications and a shorter length of stay, but not with fewer surgical site occurrences, nor with less patient-reported scar bulging. Factors in the surgeons' case mix such as the type of hernia have significant impact on complication rates.
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