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JAMA Insights
Clinical Update
September 11, 2018

Management of Groin Hernias in Adults—2018

Author Affiliations
  • 1Department of Surgery, University of Michigan, Ann Arbor
  • 2Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor
JAMA. 2018;320(10):1029-1030. doi:10.1001/jama.2018.10680

Groin hernias are very common and were previously thought to all need operative repair. They are the most common surgical condition encountered by primary care clinicians, with 1.6 million diagnosed annually and 500 000 undergoing operative repair in the United States.1 The lifetime risk of groin hernia ranges from 27% for men to 3% for women and follows a bimodal distribution at the extremes of life.1 The term groin hernia encompasses 3 types depending on location: indirect inguinal, direct inguinal, and femoral. It is difficult to determine which type of groin hernia is present before surgery, but it is also not necessary to know because the operative repair is similar for each.

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