Inguinoscrotal hernia repair: analysis of the national EVEREG registry.
- 1Department of Surgery, UD of Medicine of Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
- 2General and Digestive Surgery Department, Abdominal Wall Surgery Unit, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Abstract
Purpose
Inguinoscrotal hernia repair has been associated with worse outcomes compared to conventional repairs. Its optimal technique and prognostic factors remain unclear. We aimed to evaluate factors related to complications and recurrence in these repairs based on the EVEREG registry.Methods
Adult males who underwent elective unilateral inguinoscrotal hernia repair from 2021 to 2024 from the EVEREG registry were included. The primary outcome was postoperative complications. The secondary outcomes were to describe recurrence within 30 days and at latest available follow-up.Results
A total of 748 patients were included. Most patients (83.4%) underwent open repair, and the preferred mesh position was anterior in 70.8% of cases. Postoperative complications occurred in 6.95% of cases, mostly grade I-II of the Clavien-Dindo classification. Advanced age, diabetes, chronic obstructive pulmonary disease, higher ASA grade, H4-type hernia, open surgical approach, intraoperative complications, and longer operative times were identified as factors associated with postoperative complications (P < 0.001, P = 0.018, P = 0.035, P < 0.001, P = 0.007, P = 0.002, P = 0.039, and P < 0.001). Ambulatory surgery and the involvement of a surgeon with experience in abdominal wall repair were associated with better outcomes (P < 0.001, P = 0.029). Multivariate analysis yielded consistent results regarding protective factors. At maximum follow-up, the presence of a surgeon experienced in abdominal wall repair was the only factor linked to lower recurrence risk.Conclusion
According to the EVEREG registry, the most common approach for inguinoscrotal hernia repair was open surgery with anterior mesh placement. Postoperative complications occurred mainly in patients with greater comorbidity and hernia complexity and were mostly low-grade. Surgery performed by a surgeon experienced in abdominal wall surgery was associated with fewer postoperative complications, supporting individualised management and consideration of referral for complex cases. The available data do not allow conclusions regarding the superiority of a specific technique or long-term recurrence.
Related
- Intraoperative discovery of bladder herniation in a known inguinoscrotal hernia during open cystolithotomy, prostatectomy and hernioraphy : a case report and review of diagnostic pitfalls.
- Smoking, obesity and reoperation after elective open mesh repair of umbilical hernia: nationwide cohort study
- International expert consensus on managing elective hernia repair in patients with Crohn’s disease using the Delphi method
- The fixation paradox: when less is more in laparo-endoscopic inguinal hernia repair
- A stepwise preperitoneal approach to thoracoabdominal hernia repair with intercostal reconstruction
BibTeX
@article{verdaguertremolosa2026inguinoscrotal,
title = {{Inguinoscrotal hernia repair: analysis of the national EVEREG registry.}},
author = {M Verdaguer-Tremolosa and V Rodrigues-Gonçalves and M P Martínez-López and M López-Cano and in representation of EVEREG group},
journal = {Journal of abdominal wall surgery : JAWS},
year = {2026},
month = oct,
doi = {10.3389/jaws.2026.17525},
url = {https://europepmc.org/article/MED/42903467},
note = {CC BY},
}
RIS
TY - JOUR
TI - Inguinoscrotal hernia repair: analysis of the national EVEREG registry.
AU - M Verdaguer-Tremolosa
AU - V Rodrigues-Gonçalves
AU - M P Martínez-López
AU - M López-Cano
AU - in representation of EVEREG group
PY - 2026
DA - 2026/10/06
JO - Journal of abdominal wall surgery : JAWS
DO - 10.3389/jaws.2026.17525
UR - https://europepmc.org/article/MED/42903467
AB - Purpose Inguinoscrotal hernia repair has been associated with worse outcomes compared to conventional repairs. Its optimal technique and prognostic factors remain unclear. We aimed to evaluate factors related to complications and recurrence in these repairs based on the EVEREG registry.Methods Adult males who underwent elective unilateral inguinoscrotal hernia repair from 2021 to 2024 from the EVEREG registry were included. The primary outcome was postoperative complications. The secondary outcomes were to describe recurrence within 30 days and at latest available follow-up.Results A total of 748 patients were included. Most patients (83.4%) underwent open repair, and the preferred mesh position was anterior in 70.8% of cases. Postoperative complications occurred in 6.95% of cases, mostly grade I-II of the Clavien-Dindo classification. Advanced age, diabetes, chronic obstructive pulmonary disease, higher ASA grade, H4-type hernia, open surgical approach, intraoperative complications, and longer operative times were identified as factors associated with postoperative complications (P < 0.001, P = 0.018, P = 0.035, P < 0.001, P = 0.007, P = 0.002, P = 0.039, and P < 0.001). Ambulatory surgery and the involvement of a surgeon with experience in abdominal wall repair were associated with better outcomes (P < 0.001, P = 0.029). Multivariate analysis yielded consistent results regarding protective factors. At maximum follow-up, the presence of a surgeon experienced in abdominal wall repair was the only factor linked to lower recurrence risk.Conclusion According to the EVEREG registry, the most common approach for inguinoscrotal hernia repair was open surgery with anterior mesh placement. Postoperative complications occurred mainly in patients with greater comorbidity and hernia complexity and were mostly low-grade. Surgery performed by a surgeon experienced in abdominal wall surgery was associated with fewer postoperative complications, supporting individualised management and consideration of referral for complex cases. The available data do not allow conclusions regarding the superiority of a specific technique or long-term recurrence.
SN - 2813-2092
ER -