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

BACKGROUND: While 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.

METHODS: This 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.

RESULTS: Groin 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.

CONCLUSION: Non-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.