From surgical outcome prediction to optimizing surgical performance: the role of artificial intelligence in hernia surgery

Abstract

Artificial intelligence (AI) is starting to change the way we approach hernia surgery and abdominal wall reconstruction (AWR). From improving surgical planning to predicting outcomes and enhancing intraoperative precision, AI, particularly deep learning models (DLMs), offers tools that can support decision making and personalize patient care. These models can analyze large datasets, such as preoperative imaging, to spot patterns we might miss. We have seen AI outperform experienced surgeons in predicting complications like mesh infections. Despite its promise, there are also valid concerns about data quality, transparency, and overreliance. Thoughtful integration is essential, ensuring that AI complements rather than replaces clinical judgment. Moving forward, collaboration with fields such as computer science and support from surgical societies will be essential. With appropriate groundwork, AI can be a powerful tool in the pre-op, intra-op, and post-op phases of care.

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