Status of groin hernia repair in Japan: analysis of the 2024 annual report from the National Clinical Database.

IF 2.3 4区医学 Q2 SURGERY

Surgery Today Pub Date : 2026-10-01 Epub Date: 2026-06-30 DOI:10.1007/s00595-026-03386-x

Tatsuya Tazaki, Hiroyuki Yamamoto, Masanori Sato, Saseem Poudel, Taketo Matsubara, Itsuro Nagae, Tsuyoshi Takagi, Ken Shirabe, Hideki Ueno, Takehiro Hachisuka, Kyosuke Miyazaki

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引用次数: 0

Abstract

Purpose: To analyze the data on groin hernia repair practice in Japan in 2024 and present the recent changes in open repair technique selection.

Methods: We performed a retrospective descriptive analysis of groin hernia repairs registered in the National Clinical Database (NCD) of Japan in 2024, using nationwide data and a Japanese Hernia Society-registered subset with detailed procedure variables for 2021-2024.

Results: In the nationwide dataset, inguinal laparo-endoscopic and open repairs accounted for 58.2% and 38.2% of all groin hernia repairs, respectively. Among open repairs in the Japanese Hernia Society-registered dataset, underlay mesh repair was the most common subtype of primary repair until 2023, but decreased over time. The proportion of anterior onlay mesh repairs increased from 21.8% in 2021 to 32.0% in 2024, while the proportion of plug-and-patch repairs remained stable at approximately 24%. For recurrent open repairs, plug-and-patch repair remained the most common subtype, accounting for approximately 37%-39%, whereas underlay mesh repair decreased from 28.4% in 2021 to 21.0% in 2024, and anterior onlay mesh repair increased from 17.7% in 2021 to 26.0% in 2024.

Conclusions: Open groin hernia repair remains common in Japan, and its composition is shifting toward the use of anterior onlay mesh repair, although plug-and-patch and underlay mesh repairs are still performed widely.

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日本腹股沟疝修补现状：国家临床数据库2024年年度报告分析

目的：分析日本2024年腹股沟疝开腹修补术的临床资料，介绍近年来开放式修补术技术选择的变化。方法：我们对2024年日本国家临床数据库（NCD）中登记的腹股沟疝修补进行回顾性描述性分析，使用全国数据和日本疝气学会注册的子集，其中包含2021-2024年的详细手术变量。结果：在全国数据集中，腹股沟内窥镜和开放式修补分别占所有腹股沟疝修补的58.2%和38.2%。在日本疝气学会注册数据集中的开放式修复中，直到2023年，衬底网状修复是最常见的初级修复亚型，但随着时间的推移而减少。前路嵌体补片修复比例从2021年的21.8%上升到2024年的32.0%，插补修复比例稳定在24%左右。对于复发性开放式修复，塞补片修复仍然是最常见的亚型，约占37%-39%，而下垫补片修复从2021年的28.4%下降到2024年的21.0%，前垫补片修复从2021年的17.7%上升到2024年的26.0%。结论：开放式腹股沟疝修补术在日本仍然很常见，其组成正在转向使用前路嵌板补片修补术，尽管仍广泛进行桥塞补片和衬底补片修补术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgery Today 医学-外科

CiteScore

4.90

自引率

4.00%

发文量

208

审稿时长

1 months

期刊介绍： Surgery Today is the official journal of the Japan Surgical Society. The main purpose of the journal is to provide a place for the publication of high-quality papers documenting recent advances and new developments in all fields of surgery, both clinical and experimental. The journal welcomes original papers, review articles, and short communications, as well as short technical reports("How to do it"). The "How to do it" section will includes short articles on methods or techniques recommended for practical surgery. Papers submitted to the journal are reviewed by an international editorial board. Field of interest: All fields of surgery.