ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2025
Impact of the COVID-19 Pandemic on the Management of Groin Hernia Repairs: A Nationwide Population-Based Study From the Swedish Hernia Register.
Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- Age and Regional Trends in Groin Hernia Surgery in Japan: An Analysis of Laparoscopic Repair, Outpatient Surgery, and Manual Reduction Using National Database Open Data.Annals of gastroenterological surgery · 2026Article
- The impact of the COVID-19 pandemic on scientific publications in the field of hernia surgery: a brief bibliometric analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: The aim is to assess the impact of COVID-19 pandemic on delays in elective surgeries for symptomatic groin hernias in Sweden. Background: In Sweden, over 16,000 groin hernia repairs are performed annually, primarily in elective daycare settings. The COVID-19 pandemic led to the temporary postponement of all elective surgeries to reallocate healthcare resources and limit viral transmission. Methods: This nationwide population-based study utilizing data from the Swedish Hernia Register compared groin hernia repairs before (2015-2019) and during (2020-2021) the pandemic. Multivariable logistic regression analysis stratified by gender was employed for the outcomes. The main outcomes were risks of emergency repair, severe complications (Clavien-Dindo ≥3b), 30-day mortality, and reoperation for recurrence. Results: A total of 109,459 groin hernia repairs (n = 98 156 in men and n = 11 303 in women) were analyzed. The number of elective repairs declined by 22.9%, while emergency repairs only increased by 2.2% in 2020. Women had a higher risk of emergency repair during the pandemic (odds ratio: 1.38, Conclusions: "Watchful waiting" for symptomatic groin hernias due to postponement of elective repairs in men appears safe regarding the risks of emergency repair and severe complications, in contrary to women. While elective repairs can temporally be deferred during crises, careful consideration should be given to women. Given this large-scale study, watchful waiting may not be appropriate for women in future healthcare crises, warranting further investigations.
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