OC-008 TRENDS IN INGUINAL HERNIA REPAIR: A TAILORED APPROACH

Abstract Aim Inguinal hernias (IH) can be repaired via open, laparoscopic, and robotic approaches, with or without mesh. We aim to understand the changing trends in IH repair that may serve as a guideline toward tailored approach for hernia repair. Materials & Methods All patients undergoing primary from 2009–2021 by single surgeon at specialty center were included. Temporal differences evaluated using Chi-squared, Fisher's exact test, logistic linear regression. Results Over 12 years, 533 underwent Most males (59.1%), average age 51.7 BMI 26.6 kg/m2. IHs open (28.3%) minimally invasive (MIS) approaches (71.7%), either (93.4%) mesh (6.6%). Trends showed significant increase females (p<0.001) MIS (p<0.001). There was decrease an overall trend away mesh-based repairs tissue-based Conclusions present our center's best practices repair, which is result of approach. Our 12-year study shows use This aligned international consensus guidelines, especially females. While remains standard care US, we show progressive overuse IH,