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Many patients with groin hernias have four options for a surgical approach: Open repair, laparoscopic or robotic transabdominal preperitoneal repair, or laparoscopic total extraperitoneal repair. In this study, researchers accessed data from a U.S. registry of 424 surgeons who performed unilateral groin hernia repairs in 14,000 patients between 2015 and 2022. Using propensity-score matching, they compared outcomes for 1600 patients in each of the four surgical-approach groups.
About 95% of patients had inguinal hernias, and about 5% had femoral hernias. Findings were as follows:
No significant differences were noted among the four surgical approaches in 30-day rates of recurrence, reoperation, surgical site infection, or hospital readmission …