Risk of Inguinal Hernia Repair Following Laparoscopic Living Donor Nephrectomy: A Population-Based Cohort…

Cohort studyCanadian journal of kidney health and disease· 2026

Risk of Inguinal Hernia Repair Following Laparoscopic Living Donor Nephrectomy: A Population-Based Cohort Study.

Rhiannon Lyons, Eric McArthur, Liane S Feldman … Amit X Garg

Read paper

Transplant SurgeryCohort studyClinical practiceQ2IF 1.6

Male living kidney donors had higher inguinal hernia repair risk than nondonors.

Risk of Inguinal Hernia Repair Following Laparoscopic Living Donor Nephrectomy: A Population-Based Cohort Study.

Rhiannon Lyons … Amit X Garg

Canadian journal of kidney health and disease · 2026

Background

A prior study of living kidney donors demonstrated a substantially higher long-term risk of hydrocelectomy among male living kidney donors who underwent laparoscopic nephrectomy compared with nondonors.

Purpose

To evaluate long-term rates of inguinal hernia repair in male living kidney donors compared to nondonors.

Methods

848 male living kidney donors aged ≥18 years who underwent laparoscopic donor nephrectomy between April 1, 2002, and March 31, 2023, were matched (1:10) to 8480 healthy male nondonors based on age, cohort entry date, rurality, neighbourhood income, and prior vasectomy.

n = 848 male living kidney donors

Results

donor kidney removal raised later hernia repair risk versus non-donors

HR 1.40 (95% CI 1.01 to 1.93)

CI excludes the null - significant

More results

The cumulative incidence of inguinal hernia repair after laparoscopic donor nephrectomy was comparable to that observed after other renal and abdominal surgeries.

Donors may differ from nondonors in care-seeking behaviours and lifestyle factors, which could influence the observed risk.

“

Conclusion · 1 of 2

In contrast to the markedly higher risk of hydrocele repair, the donation-attributable risk of inguinal hernia repair in the years following laparoscopic donor nephrectomy appears modest, and in some comparisons was not evident.

Conclusion · 2 of 2

These findings support current counselling and selection practices for prospective donors, for which this outcome does not warrant specific consideration.

Risk of Inguinal Hernia Repair Following Laparoscopic Living Donor Nephrectomy: A Population-Based Cohort Study.

Risk of Inguinal Hernia Repair Following Laparoscopic Living Donor Nephrectomy: A Population-Based Cohort Study.

Related papers