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Fisher's exact test for unadjusted analysis between years was applied with Bonferroni adjustment for multiple testing. The proportion of laparoscopic IPOM repairs declined from 26.0% in 2013 to 18.2% in 2019 (p  0.001). Instead, the proportion of open sublay repairs rose from 16.5% to 21.8% (p  0.001). That was also true for innovative techniques such as the EMILOS, MILOS, eTEP and preperitoneal flat mesh technique (8.3% vs 15.3%; p  0.001). This change in indication for the various surgical techniques led to a significant improvement

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