Optimal Round Ligament Management in Women’s Hernia Repair

Transection of the round ligament of the uterus (RLU) during minimally invasive groin hernia repair in women reduces operative time with no difference in postoperative complication rates. Preserving the RLU does not impact chronic pain, paresthesia, recurrence rates, or complications. Further randomized studies are needed for long-term outcomes and patient-reported results to determine the optimal management of RLU during minimally invasive groin hernia repair.