Highlight
– The Muysoms A-H-M-T-F nomenclature standardizes hernia repair reporting across five key procedural dimensions.
– The international ARMONIA survey showed substantial inter-rater reproducibility among surgeons, most of whom were first-time users.
– The system significantly reduces procedural naming variability by 72% compared to classic free-text nomenclature.
– These findings support using the nomenclature in operative reports, research registries, and comparative studies to enhance clarity and comparability.

