Groin hernia

Jacob Rosenberg

doi:10.1038/s41572-025-00631-4

Groin hernia

2025-07-03

0

PRE

AI

DOI：10.1038/s41572-025-00631-4

Original

Original request for help

Save

Abstract

En 中文

Groin hernias are among the most common indications for surgery worldwide, affecting both men and women, with a significantly higher prevalence in men. These hernias occur when intra-abdominal contents protrude through a weakened area in the groin region, most commonly as inguinal or femoral hernias. The pathogenesis of groin hernias is a complex interplay of genetic predisposition, connective tissue abnormalities and mechanical strain. While watchful waiting is an option for some asymptomatic patients, surgical repair remains the definitive treatment, with both open and minimally invasive techniques available. Tension-free mesh repair has significantly reduced the overall recurrence rates and is now the standard approach in adults in most clinics. However, tissue-based repairs are still preferred in select populations such as children, teenagers and those in resource-limited settings. Advances in laparoscopic and robotic-assisted techniques offer benefits such as reduced postoperative pain and faster recovery. Despite surgical advancements, complications, such as chronic postoperative pain and recurrence, continue to pose challenges. Future research aims to refine surgical techniques, look at mesh-related complications, develop bioengineered meshes and explore the genetic basis of hernia formation. Groin hernia is a common condition, especially in men, that is characterized by the protrusion of abdominal contents. In this Primer, Rosenberg and colleagues discuss hernia epidemiology, pathophysiology and diagnosis as well as management strategies for groin hernia, paediatric considerations and the impact on quality of life.

Groin hernia

Abstract

Journal

Organization