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JACS

Hernia Surgery

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This collection highlights contemporary advances and ongoing challenges in hernia surgery, bringing together studies that examine operative techniques, mesh use, and perioperative management across inguinal, ventral, and hiatal hernias. The included articles explore outcomes such as recurrence, complication, functional recovery, and quality of life, while addressing emerging approaches including minimally invasive and robotic surgery, telemedicine evaluation, and same-day procedures. Collectively, this work underscores the complexity of hernia care and the need for individualized, evidence-based strategies to optimize outcomes across diverse patient populations.

 Scroll to the CME Articles section for opportunities to earn AMA PRA Category 1 Credits™ related to this collection. 

Featured Articles

Evaluation of Mesh Placement in Adolescents Undergoing Inguinal Hernia Repair: A Multicenter Retrospective Cohort Study

Recurrence in adolescent inguinal hernia repair is also rare with a recurrence rate of 1.3%. There was no statistical difference in recurrence rate in adolescents who underwent inguinal hernia repair with and without mesh. High ligation may be sufficient for effective inguinal hernia repairs in this age group.

Impact of Large Ventral Hernia Repair on Postoperative Renal Function

This study identifies a high incidence of postoperative acute kidney injury and long-term chronic kidney injury (CKD) after abdominal wall reconstruction, particularly in patients with preexisting CKD, highlighting the need for vigilant perioperative renal monitoring.

Robotic vs Laparoscopic vs Open Ventral Hernia Repair: Insights from a Network Meta-Analysis of Randomized Clinical Trials

This network meta-analysis of 34 studies found that open operation had the shortest operative time, laparoscopic intraperitoneal onlay mesh reduced wound infection risk, and robotic surgery had prolonged duration. No significant differences were observed in recurrence, seroma, or hematoma rate.

Articles

Functional Status after Ventral Hernia Repair: Longitudinal Trends and the Limits of Improvement

Head, William; Kalsotra, Sidhant; Yu, Mengda; et al

Postoperative Outcomes of Concurrent Ventral Mesh Herniorrhaphy at the Time of Gastrointestinal Cancer Surgery

Farooq, Mohammad Saad; Vargas, Gracia Maria; Shafique, Neha; et al

Shouldice vs Lichtenstein Inguinal Hernia Repair: A Propensity Score–Matched Analysis Comparing Early Postoperative Pain and Quality of Life

Ellis, Ryan C; Maskal, Sara M; Miller, Benjamin T; et al

Postoperative Outcomes Among Patients Evaluated via Telemedicine-Based Preoperative Consultation for Moderate and Large Ventral Hernia

Kalmeta, Shan L; Salgado-Garza, Gustavo; Prymak, Rebecca; et al

Postoperative Outcomes Among Patients Evaluated via Telemedicine-Based Preoperative Consultation for Moderate and Large Ventral Hernia

Kalmeta, Shan L; Salgado-Garza, Gustavo; Prymak, Rebecca; et al

Textbook Outcomes for Incisional Hernia: W3 EVEREG Database Analysis

Zaragoza Zaragoza, Carmen; Gomis-Martín, Álvaro; Rubio-García, Juan Jesús; et al

Comparative Long-Term Performance of Biologic, Synthetic, and Long-Acting Resorbable Meshes in Ventral Hernia Repair: Population Survival Kinetics Approach

Elemosho, Abdulaziz; Janis, Jeffrey E

Limited or Lasting: Is Preoperative Weight Loss as Part of Prehabilitation Maintained after Open Ventral Hernia Repair?

Holland, Alexis M; Lorenz, William R; Ayuso, Sullivan A; et al

Feasibility, Outcomes, and Odds of Same-Day Surgery in Laparoscopic Elective Repair of Type IV Hiatal Hernia with Intrathoracic Stomach

Erabelli, Nikhil; Bui, Ethan; Shah, Shalin; et al

Comparison of Partial Endoscopic vs Surgical Fundoplication after Hiatal Hernia Repair

Hodgens, Brian D; Godwin, George; Rhodes, Marvin; et al

Outcomes after Ventral Hernia Repair with Concurrent Panniculectomy: A Large Database Review

Gossett, Amy Gin; Leavitt, Justin D; Hooks, W Borden III; et al

Impact of 2023 Ventral Hernia Repair CPT Code Changes on Work Relative Value Units in a Tertiary Hernia Referral Center

DiPaola, Blake C; Mooney, Rachel E; Sairajeev, Sasha V; et al

Thirty- and 90-Day Morbidity and Mortality by Clavien-Dindo after Surgery for Antireflux and Hiatal Hernia

Ivy, Megan L; Baison, George; Griffin, Cassandra; et al

Five-Year Outcomes from a Prospective Study on Safety and Efficacy of Phasix ST Mesh Use at the Hiatus During Paraesophageal Hernia Repair

McKay, Sarah C; Dunst, Christy M; Davila-Bradley, Daniel; et al

Effect of Specimen Extraction Site on Postoperative Incisional Hernia after Minimally Invasive Right Colectomy

Johnson, Josh A; Mesiti, Andrea; Herre, Margo; et al

Updated Markov Model to Determine Optimal Management Strategy for Patients with Paraesophageal Hernia and Symptoms, Cameron Ulcer, or Comorbid Conditions

DeMeester, Steven R; Bernard, Lisa; Schoppmann, Sebastian F; et al

CME Articles

January 2026

  • Postoperative outcomes of concurrent ventral mesh herniorrhaphy at time of gastrointestinal cancer surgery

  • Impact of large ventral hernia repair on postoperative renal function

November 2025

  • Postoperative outcomes among patients evaluated via telemedicine-based preoperative consultation for moderate and large ventral hernia

Access JACS CME

Featured Video

Dr Elemosho discusses recently published article in JACS, Comparative Long-Term Performance of Biologic, Synthetic, and Long-Acting Resorbable Meshes in Ventral Hernia Repair: Population Survival Kinetics Approach.