Evidence map›Paper›PMID 39789217›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

Improved outcomes after groin hernia surgery in Sweden between 1992 and 2021: Swedish Hernia Register.

Erik Axman, Henrik Holmberg, Erik Nilsson, Johanna Österberg, Ursula Dahlstrand, Agneta Montgomery, Pär Nordin, Hanna de la Croix

Abstract read
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Inguinal hernia repair with the trabucco technique: A multicenter analysis with 5-year follow-up.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Ten-Year Results of Inguinal Hernia Open Mesh Repair.Journal of abdominal wall surgery : JAWS · 2025
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Erik AxmanDepartment of Pediatric Surgery, The Queen Silvia Children's Hospital, Behandlingsvägen 7, 416 50, Gothenburg, Sweden. erik.axman@vgregion.se.ORCID 0000-0002-0174-8147
Henrik HolmbergDepartment of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Erik NilssonDepartment of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.
Johanna ÖsterbergDepartment of Surgery, Mora Hospital, Mora, Sweden.
Ursula DahlstrandDepartment of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockhom, Sweden.
Agneta MontgomeryDepartment of Surgery, Skåne University Hospital, Malmö, Sweden.
Pär NordinDepartment of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.
Hanna de la CroixDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

Regionala Forskningsrådet Uppsala/Örebro RFR-981376Sahlgrenska Universitetssjukhuset ALFGBG-773521Stiftelsen Mary von Sydows, född Wijk, donationsfond donation 4922Svenska Läkaresällskapet SLS-784551Svenska Läkaresällskapet SLS-973834
6 · The paper itself

Abstract

purposeSurgery for groin hernia is one of the most common operations in the world. Therefore, research concerning the outcomes of groin hernia surgery is extremely important both for the individual patient as well as for those providing the healthcare funding. The aim of this study is to evaluate the outcomes of hernia surgery in Sweden over a 30 year time period, from 1992 to 2021.

methodsAll groin hernia repairs in the Swedish Hernia Register between 1992 to 2021 were analyzed with emphasis on the surgical method, reoperation rate for recurrence and date of surgery, specifically 1992-2001, 2002-2011 and 2012-2021. By using personal identification numbers, a cumulative reoperation rate has been deduced for males and females separately.

resultsA total of 368,502 groin hernia operations identified in the Swedish Hernia Register between 1992 to 2021 were eligible for analysis. Since the register was begun, there have been significant changes in the choice of operative techniques, from suture repair in 1992 to open anterior mesh repair around the year 2000, until today, where an increasing proportion of hernias are repaired using laparo-endoscopic techniques. There has been a reduction in the reoperation rate for recurrence in both males and females, with the most pronounced improvement being seen in females. The laparo-endoscopic technique is associated with a reduced incidence of reoperation for recurrence in females.

conclusionGroin hernia surgery in Sweden has undergone substantial changes over the past 30 years. Reoperation for recurrence has decreased significantly during recent years, especially in females.

Indexed as

Hernia, InguinalHerniorrhaphyRecurrenceRegistriesReoperationAgedFemaleHumansLaparoscopyMaleMiddle AgedSurgical MeshSwedenTreatment OutcomeHerniaLaparo-endoscopic repairNationwide registerQuality improvementRecurrence

Identifiers

PMID39789217
PMCPMC11717881

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LicenceCC BY
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Registered trials

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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.