Evidence map›Paper›PMID 40418367›Full record

ReviewHernia : the journal of hernias and abdominal wall surgery2025

Non-operative considerations in relation to groin and ventral hernia repair: local consensus recommendations from the Danish Hernia Database.

Jacob Rosenberg, M W Christoffersen, M Krogsgaard, N A Henriksen, K Andresen, M K Christensen, A Dorfelt, L Pejtersen, T Sommer, N Wensel and 2 more

Abstract readConsensus StatementReview
PubMed Publisher
In one paragraph

Review 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Groin hernia.Nature reviews. Disease primers · 2025
    Review
  6. Non-Operative Considerations in Relation to Parastomal Hernia.Journal of abdominal wall surgery : JAWS · 2025
    Review
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

12 authors.

Jacob RosenbergDepartment of Surgery, Herlev Hospital, University of Copenhagen, Herlev, Denmark. jacob.rosenberg@regionh.dk.ORCID 0000-0002-0063-1086
M W ChristoffersenDepartment of Surgery, Zealand University Hospital, University of Copenhagen, Koege, Denmark.
M KrogsgaardDepartment of Surgery, Zealand University Hospital, University of Copenhagen, Koege, Denmark.
N A HenriksenDigestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Herlev, Denmark.
K AndresenDepartment of Surgery, Herlev Hospital, University of Copenhagen, Herlev, Denmark.
M K ChristensenDepartment of Surgery, Regionshospitalet Viborg, Viborg, Denmark.
A DorfeltDepartment of Surgery, Odense University Hospital, Odense, Denmark.
L PejtersenSurgical Clinic Svendborg, Svendborg, Denmark.
T SommerDepartment of Surgery, Moelholm Private Hospital, Vejle, Denmark.
N WenselDepartment of Surgery, Regionshospitalet Nordjylland, Hjørring, Denmark.
N B ZintherDepartment of Surgery, Regionshospitalet Horsens, Horsens, Denmark.
F HelgstrandDepartment of Surgery, Zealand University Hospital, University of Copenhagen, Koege, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile operative technique is central to hernia repair, non-operative factors such as postoperative activity guidance and the use of abdominal binders significantly influence recovery, quality of life, and long-term outcomes. These considerations are variably addressed in clinical practice and are underrepresented in the literature.

methodsThis narrative review examines key non-operative aspects of hernia surgery, focusing on groin and ventral hernias. For each type, we discuss postoperative physical activity recommendations, the use and effectiveness of abdominal binders or support binders, and other relevant factors that typically concern the patient during the preoperative visit. As this is a non-systematic review, the recommendations are based on the available literature and consensus discussions within the steering committee of the Danish Hernia Database.

resultsGroin hernia repair typically allows for early mobilization and rarely warrants binder use, although anecdotal evidence supports the use of inguinal binders to prevent seromas in large inguinoscrotal hernias. Some patients may feel subjective comfort wearing such binders for a few weeks after surgery. In ventral hernia repair, individualized guidance and use of support binders may be more effective than in groin hernia repair; decreasing postoperative pain and possibly seroma formation. Despite widespread clinical practices, evidence supporting specific activity restriction recommendations remains limited, and considerable variation exists between surgeons and institutions. After consensus discussions, we recommend the immediate resumption of normal daily activities, whereas sports and heavy lifting should wait 2-4 weeks after the operation.

conclusionNon-operative considerations are important for the patient and often serve as central discussion points during the preoperative visit. A stronger evidence base, improved standardization, and broader implementation of patient-centered tools could enhance recovery, reduce complications, and better align surgical success with patient well-being and satisfaction.

Indexed as

Hernia, InguinalHernia, VentralHerniorrhaphyPostoperative CareDatabases, FactualDenmarkHumansPostoperative ComplicationsPostoperative PainAbdominal bindersHernia surgeryPatient educationPhysical activity restrictionsPostoperative care

Identifiers

PMID40418367

What OpenQuestion holds

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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.