Bravo-Salva, AlejandroOchoa Segarra, FranciscoGonzález Castillo, Ana MaríaJuvany, MontseTéllez-Marqués, ClaraRiba Combatti, LuisanaPérez-Guitart, MarcPereira Rodríguez, José Antonio2025-04-012025-04-012024Bravo-Salva A, Ochoa-Segarra F, González-Castillo A, Juvany-Gómez M, Téllez-Marques C, Riba-Combatti L, et al. Bilateral inguinal hernioplasty in emergency surgery: Is it feasible? Comparative retrospective study using “propensity score matching”. International Journal of Abdominal Wall and Hernia Surgery. 2024;7(3):124-30. DOI: 10.4103/ijawhs.ijawhs_46_242589-8736http://hdl.handle.net/10230/70054INTRODUCTION: Hernias, particularly groin hernias, are prevalent surgical pathologies worldwide, often necessitating surgery in cases of complications. This study investigates the safety and efficacy of performing bilateral inguinal hernioplasty when one side faces complications, addressing the lack of consensus in emergency groin hernia treatment. MATERIALS AND METHODS: A retrospective, single-center study spanning a duration of 10 years was conducted, including adult patients who underwent emergency surgery for inguinal hernia. Propensity score matching was employed to create similar groups for comparative analysis of unilateral versus bilateral emergency groin hernioplasty. Surgical techniques, complications, mortality, and long-term outcomes were evaluated. RESULTS: This study included 341 patients. Data obtained from the study revealed high morbidity and 90-day mortality rates, consistent with the data of existing literature. Propensity score matching yielded two comparable groups. Short-term outcomes showed no significant differences in complication rates, mortality, surgical site infection, or hospital stay between unilateral and bilateral hernioplasty groups. Bilateral surgery takes approximately 15 min of the procedure time. Long-term outcomes exhibited similar recurrence rates between groups. CONCLUSION: This study supports the practice of bilateral inguinal hernioplasty in emergency scenarios when one side faces complications. It is a safe approach without any significant increase in morbidity or hospital stay, while reducing the need for a subsequent intervention and its associated risks and costs. Further prospective research is necessary to confirm these findings.application/pdfengThis is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.info:eu-repo/semantics/articlehttp://dx.doi.org/10.4103/ijawhs.ijawhs_46_24Bilateral hernia repairEmergency hernia repairHernia surgeryOpen posterior hernia repairinfo:eu-repo/semantics/openAccess