Computational Analysis and Classification of Hernia Repairs

Abstract

Problems related to ventral hernia repairs (VHR) are very common, and evaluating them using computational methods can assist in selecting the most appropriate treatment. This study is based upon data from 3339 patients from different European countries observed during the last 12 years (2012–2023), which were collected by specialists in hernia surgery. Most patients underwent standard surgical procedures, with a growing trend towards laparoscopic surgery. This paper focuses on statistically evaluating the treatment methods in relation to patient age, body mass index (BMI), and the type of repair. Appropriate mathematical methods are employed to extract and classify the selected features, with emphasis on computational and machine-learning techniques. The paper presents surgical hernia treatment statistics related to patient age, BMI, and repair methods. The main conclusions point to mean groin hernia repair (GHR) complications of 19% for patients in the database. The accuracy of separating GHR mesh surgery with and without postoperative complications reached 74.4% using a two-layer neural network classification. Robotic surgeries represent 22.9% of all the evaluated hernia repairs. The proposed methodology suggests both an interdisciplinary approach and the utilization of computational intelligence in hernia surgery, potentially applicable in a clinical setting.

Keywords

• hernia surgical repair
• computational intelligence
• feature extraction
• classification
• machine learning