Document Type

Conference Proceeding

Publication Date

3-12-2025

Publication Title

Surgical Endoscopy

Abstract

Introduction: Epigastric hernias represent 1.6–3.6% of all abdominal hernias, and usually contain preperitoneal fat and occasionally omentum or small bowel. Rarely, epigastric hernias may contain portions of other organs, such as colon or stomach. We report an unusual case of a patient whose incarcerated epigastric hernia contained her stone-filled gallbladder.over a million performed in the US, and over 20 million worldwide annually. We aim to study and compare interest trends in the US and the World for IHR techniques (open, laparoscopic, robotic) using GT. Methods: The following search topics were analyzed from January 2010 to August 2024 in ‘‘US’’ and ‘‘World’’ subcategories: ‘‘open inguinal hernia repair,’’ ‘‘laparoscopic inguinal hernia repair,’’ ‘‘robotic inguinal hernia repair.’’ We quantified and compared interest using relative search volume (RSV). Average annual RSV by technique each year was compared by region using one-way ANOVA. Average annual percentage change (APC) in RSV was compared by technique for each region (i.e., US vs. World robotic IHR) with graphical representation of overall trends. Results: In the US, there was an increase in RSV for the IHR techniques (p\0.0001), with average RSV APC of ? 25.92% for open and ? 23.50% for laparoscopic IHR from 2010–2024, and ? 53.19% for robotic IHR (2015–2024) (Fig. 1). Similarly increased RSV for IHR techniques was observed worldwide (p\0.0001), with average RSV APC of ? 9.5% for open and ? 3.06% for laparoscopic IHR from 2010–2024, and ? 67.07% for robotic IHR (2015–2024) (Fig. 2). There was insufficient data for robotic IHR from 2010–2014, denoted by RSV = 0. Trends increased by region when differentiated by technique, with more apparent differences noted in robotic surgery over time (Fig. 3). Conclusions: Our findings demonstrate an increasing number of Google searches for IHR since 2010. There was a trend toward increased interest in robotic IHR in the US compared to the World, consistent with greater robotics usage within the US. Interestingly, US average annual RSVs were approaching equal distribution between the approaches. As more patients turn to Dr. Google for information about inguinal hernia repairs, the resources that result from these searches should reflect the increasing interest in minimally invasive approaches. Further research to elicit patients’ specific interests around inguinal hernia repairs, whether related to pre-operative preparation, intraoperative technique, or post-operative recovery would facilitate the development of accurate and helpful online resources and prepare patients for an effective discussion with their surgeon.

Volume

39

Issue

Suppl 1

First Page

S134

Comments

2025 SAGES Annual Meeting, March 12-15, 2025, Long Beach, CA.

DOI

10.1007/s00464-025-11690-9

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