ArticleAnnals of surgical treatment and research2026
Comparison of mesh and non-mesh repair in adolescent inguinal hernia surgery using the Korean National Health Insurance Service database: a nationwide retrospective cohort study.
Article in Annals of surgical treatment and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: This study was performed to analyze the long-term outcomes of inguinal hernia repair in adolescent patients and assess the effectiveness of using mesh with data from the National Health Insurance Service (NHIS) database. Methods: Using the NHIS claims data between 2005 and 2023, 15,808 adolescents aged 10-19 years who underwent inguinal hernia surgery were identified. Patients were categorized by mesh use, and postoperative outcomes were analyzed using statistical and Cox regression models. Results: Among 15,808 patients, 810 (5.1%) underwent mesh repair, whereas 14,998 (94.9%) did not. Mesh use increased significantly with age and was more frequent in males. There were no significant differences in readmission or reoperation rates after 1 year. However, mesh repair showed higher readmission (4.32% Conclusion: NHIS data showed no clear long-term recurrence benefit of mesh repair for adolescent inguinal hernia. Given data limitations and potential selection bias, routine mesh use is not recommended, and individualized decision-making is advised. Further prospective studies are needed, particularly for older adolescents.
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