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Letters Hernia repair

Outcomes other than recurrence should be analysed

BMJ 2008; 336 doi: (Published 08 May 2008) Cite this as: BMJ 2008;336:1033
  1. Martin Kurzer, surgeon,
  2. Alan E Kark, surgeon,
  3. Tahir Hussain, surgeon
  1. 1British Hernia Centre, London NW4 4RS
  1. m.kurzer{at}

Nordin and van der Linden’s attempt to link outcome after groin hernia surgery with surgeon volume, using the Swedish hernia register, is commendable.1 But even they must admit that using recurrence as the only outcome is crude, outdated, and of little relevance nowadays. In addition, not all hernia operations are equivalent—size and difficulty vary …

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