The Japanese Hernia Society (JHS) Guidelines for Adult Groin Hernia Management 2024
11 affiliations
- 1Center for Abdominal Hernia Chubu Tokushukai Hospital Nakagami District Okinawa Japan
- 2Hernia Center St. Luke's International Hospital Tokyo Japan
- 3Department of Surgery The Jikei University West Medical Center Tokyo Japan
- 4Department of Surgery Tokyo Joto Hospital Tokyo Japan
- 5Department of Surgery National Hospital Organization Hokkaido Medical Center Sapporo Japan
- 6Department of Gastrointestinal and Pediatric Surgery Tokyo Medical University Tokyo Japan
- 7Department of Gastroenterological Surgery Nagoya City University Nagoya Japan
- 8Department of Surgery Tsukuba Gastrointestinal Hospital Tsukuba Japan
- 9Department of Surgery Mitsubishi Kyoto Hospital Kyoto Japan
- 10Department of Surgery Nagoya University Hospital Nagoya Japan
- 11Department of Hepato‐Biliary‐Pancreatic Surgery Hyogo Medical University Nishinomiya Japan
Abstract
Groin hernia is a common surgical condition. The Japanese Hernia Society (JHS) Guidelines for Groin Hernia Management 2024 were developed to reflect both international evidence and the realities of clinical practice in Japan. This article is an authorized English translation of a summary of the adult section of the JHS Guidelines for Groin Hernia Management 2024, presenting key clinical questions, recommendations, and concise explanations for an international readership. It covers diagnosis, classification, surgical indications, operative approaches, mesh and fixation, anesthesia, chronic postoperative inguinal pain, recurrent and emergency hernia, training, cost‐effectiveness, and registry‐based outcome assessment; relevant differences from the international HerniaSurge guidelines are discussed. Laparoscopic repair is favored in selected patients when performed by experienced surgeons, particularly for pain reduction and early recovery, whereas open anterior mesh repair remains appropriate when general anesthesia or laparoscopy is unsuitable. For femoral hernia, chronic pain management, recurrent hernia, and incarcerated or strangulated hernia, evidence remains limited, leading to cautious or conditional recommendations.
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BibTeX
@article{idani2026japanese,
title = {{The Japanese Hernia Society (JHS) Guidelines for Adult Groin Hernia Management 2024}},
author = {Hitoshi Idani and Gen Shimada and Katsuhito Suwa and Yoshiko Honda and Yuji Konishi and Itsuro Nagae and Kenta Saito and Takafumi Tamura and Satoshi Nagayama and Chie Tanaka and Seiko Hirono},
journal = {Annals of Gastroenterological Surgery},
year = {2026},
month = nov,
doi = {10.1002/ags3.70295},
url = {https://doi.org/10.1002/ags3.70295},
note = {CC BY-NC-ND 4.0},
}
RIS
TY - JOUR
TI - The Japanese Hernia Society (JHS) Guidelines for Adult Groin Hernia Management 2024
AU - Hitoshi Idani
AU - Gen Shimada
AU - Katsuhito Suwa
AU - Yoshiko Honda
AU - Yuji Konishi
AU - Itsuro Nagae
AU - Kenta Saito
AU - Takafumi Tamura
AU - Satoshi Nagayama
AU - Chie Tanaka
AU - Seiko Hirono
PY - 2026
DA - 2026/11/04
JO - Annals of Gastroenterological Surgery
DO - 10.1002/ags3.70295
UR - https://doi.org/10.1002/ags3.70295
AB - Groin hernia is a common surgical condition. The Japanese Hernia Society (JHS) Guidelines for Groin Hernia Management 2024 were developed to reflect both international evidence and the realities of clinical practice in Japan. This article is an authorized English translation of a summary of the adult section of the JHS Guidelines for Groin Hernia Management 2024, presenting key clinical questions, recommendations, and concise explanations for an international readership. It covers diagnosis, classification, surgical indications, operative approaches, mesh and fixation, anesthesia, chronic postoperative inguinal pain, recurrent and emergency hernia, training, cost‐effectiveness, and registry‐based outcome assessment; relevant differences from the international HerniaSurge guidelines are discussed. Laparoscopic repair is favored in selected patients when performed by experienced surgeons, particularly for pain reduction and early recovery, whereas open anterior mesh repair remains appropriate when general anesthesia or laparoscopy is unsuitable. For femoral hernia, chronic pain management, recurrent hernia, and incarcerated or strangulated hernia, evidence remains limited, leading to cautious or conditional recommendations.
SN - 2475-0328
ER -