Update of the international HerniaSurge guidelines for groin hernia management
HerniaSurge Group · 2023 · international
Source and licence
- Authors
- Cesare Stabilini, Nadine van Veenendaal, Eske Aasvang et al.
- Title
- Update of the international HerniaSurge guidelines for groin hernia management
- Journal
- BJS Open, 2023
- Licence
- CC BY 4.0
- Changes
- Verbatim excerpts; formatting adapted
Full text retrieved 2026-10-27 from Europe PMC · PMC10588975
Licence statement of the original publication
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
This page reproduces excerpts of the original publication; the original is authoritative. It has not been reviewed by a physician, does not state a recommendation of Medelix and does not replace medical advice. The guideline may have been updated since.
Open the original publication →Full text on Europe PMC
Recommendations
Verbatim, with grade of recommendation or strength of consensus where given.
When to safely attempt manual reduction—group of patients/symptoms/findings
- Patients should undergo emergency surgery immediately when a diagnosis of strangulation is made, or manual reduction was unsuccessful.Strength of recommendation: strong.
Abstract
Background: Groin hernia repair is one of the most common operations performed globally, with more than 20 million procedures per year. The last guidelines on groin hernia management were published in 2018 by the HerniaSurge Group. The aim of this project was to assess new evidence and update the guidelines. The guideline is intended for general and abdominal wall surgeons treating adult patients with groin hernias.
Method: A working group of 30 international groin hernia experts and all involved stakeholders was formed and examined all new literature on groin hernia management, available until April 2022. Articles were screened for eligibility and assessed according to GRADE methodologies. New evidence was included, and chapters were rewritten. Statements and recommendations were updated or newly formulated as necessary.
Results: Ten chapters of the original HerniaSurge inguinal hernia guidelines were updated. In total, 39 new statements and 32 recommendations were formulated (16 strong recommendations). A modified Delphi method was used to reach consensus on all statements and recommendations among the groin hernia experts and at the European Hernia Society meeting in Manchester on October 21, 2022.
Conclusion: The HerniaSurge Collaboration has updated the international guidelines for groin hernia management. The updated guidelines provide an overview of the best available evidence on groin hernia management and include evidence-based statements and recommendations for daily practice. Future guideline development will change according to emerging guideline methodology.
Contents of the original publication
The section headings of the original.
- Introduction
- Methodology
- Chapter development group composition and stakeholders’ involvement
- Introduction
- Results
- Results
- Discussion
- Introduction
- Results
- Introduction
- Results
- Discussion
- Introduction
- Results
- Discussion
- Introduction
- Results
- Discussion
- Introduction
- Results
- Introduction
- Results
- Discussion
- Introduction
- Results
- Discussion
- Introduction
- Results
- Discussion
- Introduction
- Results
- Discussion
- Introduction
- Introduction
- Results
- Discussion
- Introduction
- Results
- Discussion
- Introduction
- Results
- Discussion
- Biochemical predictors of bowel resection/ischaemia in acutely symptomatic groin hernia patients
- When to safely attempt manual reduction—group of patients/symptoms/findings
- Mesh versus suture repair
- Results
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