Present and Future of EBM in Inguinal Hernia Repair and Abdominal Wall Reconstruction

  • Umberto Bracale
  • Giovanni Merola
  • Cesare Stabilini
  • Maurizio Sodo
  • Giuseppe Cavallaro


Evidence-based medicine (EBM) means the adequate use of current, best scientific evidences in the process of decision-making about treatment of patients. In 2009, the European Hernia Society published the first guidelines for the management of inguinal hernia. After that, other scientific societies have faced these topics reaching in some cases an adequate level of evidence. Unfortunately, in other cases, the scientific community has failed in obtaining enough level of evidence in order to give strong or moderate recommendations for the daily clinical practice.

The lack of evidences is glaring about the abdominal wall reconstruction surgery. It is a wide topic with a lot of serious and interesting studies but without a general consensus. So, the real need is the creation of evidence-based guidelines regarding all aspects of this kind of surgery, both for the laparoscopic and for the open approach. In this chapter, we report the state-of-the-art of EBM about the two topics of inguinal and incisional/ventral hernia repair.


Inguinal hernia repair Abdominal wall reconstruction Evidence-based medicine 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Umberto Bracale
    • 1
  • Giovanni Merola
    • 1
  • Cesare Stabilini
    • 2
  • Maurizio Sodo
    • 1
  • Giuseppe Cavallaro
    • 3
  1. 1.Department of Public HealthUniversity “Federico II” of NaplesNaplesItaly
  2. 2.Department of Surgical Sciences and Integrated Diagnostics (DISC)University of GenoaGenoaItaly
  3. 3.Department of Surgery “P. Valdoni”Sapienza UniversityRomeItaly

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