Establishing a Hernia Program

  • Karla Bernardi
  • Mike K. LiangEmail author


Abdominal wall and groin hernias are among the most common pathologies seen by clinicians. The prevalence of these hernias is on the rise due to their strong relationship to patient comorbidities such as smoking and obesity. Patients with comorbidities are not only more likely to develop a hernia, but they are also more likely to suffer a major complication whether their hernia is treated (e.g., hernia recurrence) or not (e.g., incarceration). In addition, after each failed repair, a successful subsequent repair is less and less likely.

Because of this, there has been interest in regionalization of care for patients with comorbidities or complex hernias. Specialized hernia programs aim to improve outcomes, control cost, and promote research. This chapter will review the evidence behind and provide a guide to development of a Hernia Center of Excellence. In addition, evidence for and guide to long-term follow-up of patients with hernias will be discussed.


Hernia program Center of Excellence Guidelines Standards Recommendations Expectations Follow-up 


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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2019

Authors and Affiliations

  1. 1.Department of General SurgeryMcGovern Medical School, University of Texas Health Science CenterHoustonUSA

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