EPA Playbook: Inguinal Hernia

In this episode of EPA Playbook, Drs. Jason Bingham, Emma Burke, and Agnes Premkumar discuss the evaluation and management of inguinal hernias through a case-based approach that reinforces key EPA concepts for surgical trainees. We specifically highlight the importance of a thorough history and physical exam, emphasize risk stratification, and indications for surgery versus watchful waiting. We briefly review a few postoperative considerations as well.
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For additional information on EPAs, visit the American Board of Surgery EPA webpage: absurgery.org/get-certified/epas.
Cited studies:

Miserez M, et al. "Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients." Hernia. 2014;18(2):151-163. PubMed ID: 24504225 (pubmed.ncbi.nlm.nih.gov/24504225)
Carrick MA, et al. "Smoking and anaesthesia." BJA Educ. 2019;19(1):1-6. PubMed ID: 33456860 (pubmed.ncbi.nlm.nih.gov/33456860)
Amid PK, et al. "Local anesthesia for inguinal hernia repair step-by-step procedure." Ann Surg. 1994;220(6):735-737. PubMed ID: 7979603 (pubmed.ncbi.nlm.nih.gov/7979603)
Huy TC, et al. "Reoperation for chronic postoperative inguinal pain." JAMA Surg. 2025;160(9):984-991. PubMed ID: 39855588 (pubmed.ncbi.nlm.nih.gov/39855588)