Research Article | DOI: https://doi.org/10.31579/2690-1897/310
Ferhat Abbas University, Setif 1. Faculty of Medicine. Department of General Surgery. Setif University Hospital. Algeria.
*Corresponding Author: Professor Ilhem Ouahab, Ferhat Abbas University, Setif 1. Faculty of Medicine. Department of General Surgery. Setif University Hospital. Algeria.
Citation: Ouahab Ilhem, (2026), Inguino-Crural Hernias, a Subject Still Under Evaluation: Which Surgical Technique should be Chosen? J, Surgical Case Reports and Images, 9(4); DOI:10.31579/2690-1897/310
Copyright: © 2026, Ouahab Ilhem. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 04 May 2026 | Accepted: 18 May 2026 | Published: 01 June 2026
Keywords: hernias; groin; easy diagnosis; surgery; recurrence
Inguinal hernias are a common condition in general surgery and represent a significant public health problem with a substantial economic burden in terms of frequency and cost. Inguinal hernias are predominant in men, but all age groups can be affected. Treatment is purely surgical. Inguinal hernia surgery is the primary surgical activity for general and visceral surgeons worldwide. Surgical techniques are numerous, ranging from simple repair to prosthetic repair. Techniques using prostheses are now the gold standard in the surgical management of simple inguinal hernias. In our prospective open-label study, 125 cases of inguinal hernias were operated on. Sixty-eight percent of patients underwent simple repair, and 32% were treated with prosthetic repair. Outcomes are difficult to assess and vary from patient to patient. The results depend on the quality of the patient's musculopectineal region, risk factors, lifestyle, the quality of the synthetic material used, and, above all, the surgeon's experience. Currently, there is no consensus on best practices for inguinal hernia surgery. The only criterion for evaluating one technique over another is the recurrence rate. In our series, we observed that the Lichtenstein procedure is the preferred technique and should be used for all patients, even young ones. The McVay repair technique has the lowest recurrence rate compared to other repair methods.
Inguinal hernias are a common condition in general surgery with a very significant socioeconomic impact. It is a very widespread pathology throughout the world and particularly in Algeria.
A hernia is the protrusion of an organ through an abnormal opening at weak points in the body. the abdominal wall. An groin hernia causes a protrusion in the groin area.
It can be inguinal, crural, or femoral (as it's called in English). Inguinal hernias can Inguinal hernias can appear at any age, with a male predominance. Inguinal hernias are more common in men, while femoral hernias are more prevalent in women. Diagnosis is straightforward. Generally, it is made during a physical examination while standing, by observing a bulge in the groin area. An uncomplicated inguinal hernia is painless, reducible, soft, and protrudes when standing, during coughing, dysuria, or defecation. Femoral hernias are often diagnosed in obese women with acute intestinal obstruction.
These hernias are acquired. They are due to muscular and aponeurotic weakness and are done through weak points.
In addition, patient-related factors such as age, professional or sporting activity, and associated pathologies must be taken into account.
The treatment is essentially surgical; it aims to strengthen the transversalis fascia.
The procedures are numerous, ranging from simple sutures to prosthesis placement. The management of inguinal hernias has seen surgical advances with the advent of prosthetic mesh and laparoscopy.
The objective Our work is to evaluate the surgical techniques for repairing inguinal hernias performed in our department, thus enabling maximum postoperative comfort with a lower recurrence rate.
Patients and methods: This was a prospective, open-label study of a sample of 125 patients over 18 years of age who underwent elective surgery in the general surgery department of the University Hospital of Sétif, from January 2019 to June 2025. All patients underwent a clinical examination with a thorough medical history to identify risk factors or triggers. Ultrasound and/or CT scans were performed as needed to identify or investigate associated conditions. Patients who underwent emergency surgery for a complicated inguinal hernia were excluded from this study. Simple herniorrhaphy was performed using non-absorbable sutures. Prosthesis interposition was indicated based on local findings, age, and risk factors. Patient follow-up lasted more than one year. Initially, we studied immediate and long-term morbidity and mortality. Subsequently, we compared and evaluated the outcomes of the surgical techniques with a minimum follow-up of 6 months for each patient. The average follow-up was six months, ranging from 3 to 36 months. A multivariate analysis was performed to determine predictive factors for hernia recurrence.
One hundred and twenty-five patients underwent surgery. These included 107 men and 18 women. The average age of our patients was 35 years (range 19–87 years). The male-to-female ratio was 5.9.
Figure 1: Distribution of inguinal hernias according to sex
The average age of men was 37 years, with a range from 19 to 87 years. The average age of women was 30 years, with a range from 28 to 70 years.
The risk factors identified were dysuria mainly related to prostatic hypertrophy, chronic cough, carrying heavy loads, obesity, chronic constipation and multiparity.
| Risk factors | Number | Percentage |
| Dysuria | 45 | 36% |
| Chronic cough | 30 | 24% |
| Obesity | 10 | 08% |
| Chronic constipation | 21 | 17% |
| Carrying heavy loads | 13 | 10% |
| Multiparity | 06 | 0.5% |
Table I: Risk factors for inguinal hernias.
One hundred patients had a medical history: 22% had insulin-dependent diabetes, 35% were taking oral antidiabetic medication, 25% had hypertension, 28% had both diabetes and hypertension, 10% were on long-term corticosteroid therapy, and 5% had undergone chemotherapy. A surgical history was found in 20% of cases, predominantly for contralateral inguinal hernia repair. The diagnosis was made following the onset of pain and bulging in the groin area, self-reported by the patient in 76% (n = 95) of cases. Ultrasound and, occasionally, CT scans performed for other reasons led to the diagnosis in 30 patients. Physical examination confirmed the clinical and anatomical characteristics of the hernias.
Figure 2 : Clinical and anatomical characteristics of hernias.
Eighty men underwent surgery for inguinal hernias and 27 men for inguinoscrotal hernias. Three women underwent surgery for inguinal hernias and 15 women for femoral hernias.
| Men (107) | Women (18) | ||||
| Type of hernia | Number | % | Type of hernia | Number | % |
| Inguinal | 80 | 75 | 03 | 17 | |
| Inguino scrotal | 27 | 25 | _ | ||
| Crural | _ | _ | 15 | 83 | |
Table II: Type of hernia according to sex.
The surgical intervention was scheduled electively. Patients were classified according to the ASA score as ASA I in 20% (n = 25) of cases, ASA II in 70% (n = 87), ASA III in 10% of cases (n = 13).
Figure 3 : ASA classification of our patients.
The hernia was simple in 78% (n = 98) of cases and located on the right in 80% of cases (n = 100).
The hernia was treated with simple suture in 68% of cases (n = 85). Fifty-five cases involved the McVay surgical technique, 22 the Bassini technique, and 8 the Shouldice technique. Hernia repair with a Lichtenstein-type mesh was performed in 32% of cases.
Figure 4: Type of hernia repair surgery.
Figure 5 : Type of Herniorrhaphy
We noted immediate postoperative pain in two patients. Scrotal edema was observed in 11 patients. Surgical site infection was found in four patients after surgery with a prosthesis and in two patients after simple sutures.
We identified six cases of hernia recurrence. These cases were found in men who underwent simple repair with bilateral hernias. No recurrences were reported in women.
| Post-operative care | ||||
| Herniorrhaphies | Lichtenstein -type prosthesis | |||
| Post-operative complications | Mac Vay | Bassini | Shouldice | |
| Number | Number | Number | Number | |
| Immediate pain | 0 | 0 | 2 | 0 |
| Scrotal edema | 2 | 3 | 6 | 0 |
| Surgical site infection | 0 | 1 | 1 | 4 |
Table III: Post-operative course.
Figure 6 : Recurrence according to the surgical technique.
Inguinal hernias These are the most common types of abdominal wall hernias. They include inguinal hernias and femoral hernias. The groin region is an intermediate area between the abdomen and the lower limb. Uncomplicated groin hernias are tolerated for years [1]. They constitute the most frequent reason for consultation in general surgery. Inguinal hernias are common conditions, especially in men. In our series, 107 (86%) men and 18 (14%) women underwent surgery for an inguinal hernia, resulting in a male-to-female ratio of 5.9. The mean age was 37 years (range 19-87 years) for men and 30 years (range 28-70 years) for women. Inguinal hernias were common in young people, and inguinoscrotal hernias were more prevalent between the ages of 50 and 80 [2]. Bilateral hernias were present in manual laborers aged between 40 and 62 years. Femoral hernias were predominant in women over 40 years of age. Diagnosis was easily made through a simple clinical examination. Paraclinical examinations were only necessary to investigate risk factors or in cases of diagnostic uncertainty. Ultrasound is indicated in cases of inguinal pain, unspecified diagnosis, or in cases of irreducible, painless swelling [3]. In our patients, a CT scan was requested in 36% of cases to investigate the cause of dysuria, unexplained pelvic pain, or a painless bulge in the groin. A CT scan is requested in cases of obesity, large hernias, or postoperatively to differentiate between a persistent hematoma, an abscess, and a recurrence. It was requested in 32% of our patients. Sixty-two percent of our patients had a right-sided hernia, compared to 18% on the left and 20% bilateral hernias. The right-sided predominance is likely related to the fact that the majority of humans are right-handed. Patients in our sample were classified as ASA I in 20% of cases, ASA II in 70%, and ASA III in 10%. These findings indicate that inguinal hernias are more common in older individuals. Dysuria was present in 36% of cases. Chronic cough was reported in 30 patients. Obesity, chronic constipation, and physically demanding occupations were observed in our patients. Risk factors for inguinal hernias are numerous. Understanding these factors is essential for choosing the surgical technique. Obesity, increased intra-abdominal pressure, and especially occupational factors necessitate prosthetic repair to prevent recurrence. Surgical treatment aims to close the weakened opening that caused the hernia using non-absorbable sutures, approximating the muscles using various suturing techniques, or by placing a prosthesis made of non-absorbable mesh without tensioning the surrounding tissues.
Numerous repair techniques exist. A distinction is made between the Bassini, Shouldice, and MacVay techniques and the Lichtenstein plasty techniques. The first herniorrhaphy, performed by Bassini in 1887, involved suturing the conjugate tendon to the inguinal ligament with a few stitches. The Shouldice procedure is the result of an improvement on the Bassini procedure, developed over several decades. It consists of sutures in several layers of running stitches in the different layers of the inguinal region, followed by further reinforcement of the transversus abdominis muscle on the inferior surface of the external oblique fascia [4]. MacVay, an American surgeon and anatomist, observed that the transversalis fascia and the transversus abdominis muscle, attached to Cooper's ligament, added reinforcement to the Bassini technique [5]. The MacVay procedure is therefore characterized by lowering the conjugate tendon to Cooper's ligament, with a releasing incision.
The Lichtenstein technique is currently considered the gold standard for inguinal hernia repair. It is easy, quick, less painful, minimally invasive, effective, can be performed under local anesthesia, and even by novice surgeons. The advantage of prosthetic repair is that it closes the hernial orifice and eliminates the tension of the sutures, which are responsible for postoperative pain. Surgeons now have a wide variety of prosthetic materials at their disposal.
In men, we operated on 75% of inguinal hernias, 25% of inguino-scrotal hernias, and 20% of bilateral hernias. In women, 83% of femoral hernias and 17% of inguino-scrotal hernias were operated on. Specifically, the Bassini technique was used in 26%, the Shouldice technique in 9%, and the MacVay technique in 65%. Prosthetic repair was indicated in 32% of cases. The indications are very difficult to standardize, given the number of techniques and the personal preferences of each surgeon [6].
Hernia treatment today raises the question of which technique to choose from among several options. However, the choice of therapeutic procedures depends primarily on age, risk factors, the fragility of the groin muscles, postoperative pain, and recurrence.
Since Bassini introduced his technique in 1887, approximately 80 surgical procedures have been described in the literature [7]. The multitude of these surgical techniques testifies to the difficulty of choosing the best approach. In practice, there are two groups of techniques: those that exert tension on the tissues, known as suture repairs, and those called "tension-free," which consist of interposing prostheses without tension on the tissues. Procedures using mesh are superior to other techniques in terms of recurrence and postoperative pain [8]. Postoperative outcomes were favorable, with the exception of two cases of immediate postoperative pain, scrotal edema in 11 patients, and surgical site infection in 6 cases . It is noted that the immediate pain at the surgical site occurred following suture repair using the Shouldice technique and is due to the tension of the sutures in several anatomical layers.
Our study showed that the hernia recurrence rate with the Lichtenstein and McVay techniques was zero compared to the Bassini (4 cases) and Shouldice (2 cases) techniques. Therefore, to accurately assess this recurrence rate, the follow-up period must be sufficient, as a short follow-up period may lead to missing potential recurrences [9]. Herniorrhaphy is a factor in recurrence. The tension placed on the tissues during the treatment of hernias by classic raphies is one of the most important causes of recurrence described in the literature [10-11].
The Bassini technique remained the standard procedure until recently. When done correctly, it gives a recurrence rate of around 10% [12].
The Shouldice technique remains by far the best cure by raphie and which has the lowest risk of hernia recurrence, with results between 0.7 and 1.7% at three years in the hands of experts and around 10% in the long term [13-14]. However, this technique has a drawback: it is performed under tension, and is responsible for debilitating postoperative pain reported by patients (2 cases in our series). In the 1980s, Lichtenstein developed the concept of tension-free repair with the aim of improving postoperative patient comfort [15].
However, the tension placed on the tissues during the treatment of hernias by classic raphies is one of the most important causes of recurrence described in the literature [16]. This explains the success of tension-free inguinal hernia repair techniques.
The Lichtenstein technique is a procedure with hernia recurrence rates of between 1% and 2% at five years. These rates are around 4% in the long term (beyond 15 years) [17-18].
Other authors agree that hernia recurrence after prosthetic repair occurs within 2 to 5 postoperative years [19-20]. Moreover, since the 1990s, economic considerations and costs to society have been taken into consideration [21].
Regardless of the technique used, assessing the true recurrence rate requires rigorous patient follow-up, both in terms of duration and quality of follow-up [22] . This is why we opted for an open-label prospective study to obtain more precise monitoring of our patients.
The factors for hernia recurrence in our patients were age over 70, smoking, prostate enlargement, obesity with a body mass index over 30, manual labor, and bilateral hernia.
In the literature, other factors have been correlated with this risk. These are patient-related recurrence factors such as chronic intra-abdominal hypertension and connective tissue diseases [23-24].Other studies have demonstrated the existence of recurrence factors related to the hernia, namely its bilateral nature, the fact that it is a direct hernia or a recurrent hernia [25-26].
The early occurrence of a hernia recurrence suggests that it is linked to a technical defect [27]. No cases of early hernia recurrence were observed in our series.
In the literature, the recurrence rate of primary hernia after intervention of Lichtenstein varies between 0% and 4% [28].
Which technique should I choose?
Simple repairs such as the McVay or Shouldice techniques should be reserved for adolescents and young adults with a still-strong and relatively undamaged abdominal wall. Prostheses should be indicated for adults over 50, patients with underlying health conditions, in cases of bilateral hernias, large hernias, or recurrence.
For us, the Mac Vay technique remains the technique of choice, and can be offered as a first option to young men who have a unilateral hernia, a solid wall without major risk factors.
Otherwise, for large hernias (inguinoscrotal hernia), or recurrent, or bilateral, or associated with pathologies or femoral hernia, the placement of a prosthesis should be preferred.
Ultimately, the benefit of one surgical technique over another is best judged by the reduction in immediate and long-term postoperative morbidity, and above all, by patient satisfaction. The surgeon must therefore master all surgical techniques and practice the one they excel at, while respecting the anatomoclinical data of each patient.
Inguinal hernias are the most common surgical condition requiring elective surgery in men during general surgery. Surgical treatment is the only solution, primarily based on repair techniques or prosthetic materials that reinforce the posterior wall of the inguinal canal without causing tension. Consequently, surgery should provide the patient with postoperative comfort, a rapid return to activities, and a low recurrence rate. The McVay technique is the preferred method, but in specific situations, the Lichtenstein procedure is the best option. Inguinal hernias remain a subject of ongoing evaluation due to the emergence of prostheses, the widespread use of laparoscopic treatments, advances in anesthesia, numerous risk factors, and, above all, the cost of care. It appears that laparoscopy helps to reduce immediate postoperative pain as well as the incidence of chronic pain [29]. It would also allow a faster resumption of normal activity [30-31].
The question to date is: is there a place for herniorrhaphy?
Conflict of interest : None.
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Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
