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Lower reoperation rates after open and laparoscopic groin hernia repair when performed by high-volume surgeons: a nationwide register-based study

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Purpose: Previous studies have shown a correlation between surgeons with high annual volume and better outcomes after various surgical procedures. However, the preexisting literature regarding groin hernia repair and annual surgeon volume is limited. The aim was to investigate how annual surgeon volume affected the reoperation rates for recurrence after primary groin hernia repair. Methods: This nationwide cohort study was based on data from the Danish Hernia Database and the Danish Patient Safety Authority’s Online Register. Patients ≥ 18 years undergoing laparoscopic or Lichtenstein primary groin hernia repair between November 2011 and January 2020 were included. Annual surgeon volume was divided into five categories: ≤ 10, 11–25, 26–50, 51–100, and > 100 cases/year. Results: We included 25,262 groin hernia repairs performed in 23,088 patients. The risk of reoperation for recurrence after Lichtenstein repair was significantly higher for the volume categories of ≤ 10 (HR 4.02), 11–25 (HR 3.64), 26–50 (HR 3.93), or 51–100 (HR 4.30), compared with the > 100 category. The risk of reoperation for recurrence after laparoscopic repair was significantly increased for the volume categories of ≤ 10 (HR 1.89), 11–25 (HR 2.08), 26–50 (HR 1.80), and 51–100 (HR 1.58) compared with the > 100 category. Conclusion: The risk of reoperation for recurrence was significantly higher after Lichtenstein and laparoscopic repairs performed by surgeons with < 100 cases/year compared with > 100 cases/year. This indicates that higher surgeon volume minimizes the risk of reoperation for recurrence after groin hernia repair.

Original languageEnglish
JournalHernia
Volume25
Issue number5
Pages (from-to)1189-1197
Number of pages9
ISSN1265-4906
DOIs
Publication statusPublished - Oct 2021

Bibliographical note

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.

    Research areas

  • Cohort Studies, Groin/surgery, Hernia, Inguinal/surgery, Herniorrhaphy/adverse effects, Humans, Laparoscopy, Recurrence, Reoperation, Surgeons

ID: 68414350