Current trends in hernia surgery in NHS England
| Autor: | de Beaux A, Tulloh B, Maciej Pawlak |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Incisional hernia Hernia Inguinal 030230 surgery State Medicine 03 medical and health sciences 0302 clinical medicine Hernia surgery medicine Clinical endpoint Humans Incisional Hernia Hernia Herniorrhaphy business.industry General surgery Suture Techniques General Medicine Surgical Mesh medicine.disease digestive system diseases Umbilical hernia Inguinal hernia stomatognathic diseases surgical procedures operative England 030220 oncology & carcinogenesis General Surgery Surgery business Hernia Umbilical |
| Zdroj: | Ann R Coll Surg Engl |
| ISSN: | 1478-7083 |
| Popis: | Background Mesh is recommended for the repair of most hernias when prevention of recurrence is the primary endpoint. However, mesh may be associated with increased complications for the patient. The aim of this study was to quantify the use of mesh for abdominal wall hernia surgery in NHS England in recent years. Materials and methods The NHS Digital Secondary Uses Service database for 2016/17 and 2017/18 was interrogated for numbers of patient undergoing elective primary hernia surgery. Using the specific hernia code inguinal (T201-9), umbilical (T241-9), incisional (T251-9) and other abdominal wall hernia (T271-9), the use of mesh or suture repair was determined. Recurrent and emergency hernia surgery were excluded. All data were provided by NHS RightCare. Results There are almost 100,000 hernia repairs performed annually in NHS England. For every four hernias, three are repaired with mesh. The percentage repaired by mesh varies by hernia type. Mesh repairs in inguinal, umbilical and incisional hernias accounted for 95%, 50% and 82%, respectively. Conclusions Mesh repair for all hernia types is more common than suture repair. However, for umbilical and other abdominal wall hernias, a significant proportion are repaired without the use of mesh. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|