Ten-year Surgical Method Selection and Postoperative Results for Adult Groin Hernia

Abstract

Purpose : The aim in this study was to clarify the issues experienced with groin hernia treatment by examining the changes in groin hernia repair technique selection and surgical results in our department since 2013 with the introduction of the transabdominal preperitoneal repair (TAPP) method. Materials and Methods : In this retrospective study, we examined 1,898 adult groin hernia repairs performed in our department between April 2013 and March 2023. Results : The TAPP method was performed in the highest number of all cases, with 9 recurrences out of 1,359. No recurrence has been observed after July 2017. A comparison of the outcomes of 1,814 elective and 84 emergency surgeries showed that the proportion of recurrences and complications of Clavien-Dindo classification grade ≥II was higher in the emergency surgery group (p<0.01). Conclusion : To improve outcomes, appropriate and improved surgical techniques must be selected and patients must be educated to undergo surgery prior to incarceration.