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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastrointest Surg. Oct 27, 2026; 18(10): 121585
Published online Oct 27, 2026. doi: 10.4240/wjgs.121585
Clinical prediction model for inguinal hernia recurrence risk after transabdominal preperitoneal hernia repair surgery in elderly patients
Chuan-Pei Cao, Huan Xiong, Zhi-Hua Zhu, Jian-Ping Zhang
Chuan-Pei Cao, Huan Xiong, Zhi-Hua Zhu, Jian-Ping Zhang, Department of General Surgery, Affiliated Hospital of Jiujiang University, Jiujiang 332000, Jiangxi Province, China
Author contributions: Cao CP responsible for the entire research process, including study design, data collection, statistical analysis, and manuscript drafting and revision; Xiong H and Zhu ZH participated in data collection, literature review, and manuscript proofreading; Zhang JP provided overall guidance for the research, conducted critical review and final revision of the manuscript. All the authors have read and approved the final version of the manuscript.
AI contribution statement: The authors declare that no AI tools were used in the development or writing of this manuscript and take full responsibility for its integrity, accuracy, and originality.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Affiliated Hospital of Jiujiang University (Approval No. 2026-083).
Informed consent statement: All individuals who participated in this study provided written informed consent prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Corresponding author: Jian-Ping Zhang, Research Fellow, Department of General Surgery, Affiliated Hospital of Jiujiang University, No. 57 Xunyang East Road, Jiujiang 332000, Jiangxi Province, China. jianpingzhang6474@163.com
Received: April 30, 2026
Revised: June 3, 2026
Accepted: July 1, 2026
Published online: October 27, 2026
Processing time: 170 Days and 19.2 Hours
Core Tip

Core Tip: Postoperative recurrence after transabdominal preperitoneal hernia repair remains a major concern in elderly patients with inguinal hernia. This study identified six independent risk factors associated with recurrence and developed a nomogram prediction model with favorable discrimination and calibration performance. This model may facilitate individualized perioperative risk assessment and early intervention strategies in elderly patients undergoing transabdominal preperitoneal hernia repair.

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