Management of the uncomplicated primary inguinal hernia in 2019: the practice amongst members of the British Hernia Society
| Autor: | D Light, D L Sanders, Brian M Stephenson |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Hernia Inguinal 030230 surgery 03 medical and health sciences 0302 clinical medicine medicine Humans Hernia 030212 general & internal medicine Practice Patterns Physicians' Herniorrhaphy business.industry General surgery General Medicine Surgical Mesh medicine.disease Inguinal hernia surgical procedures operative Elective Surgical Procedures Current practice General Surgery Female Laparoscopy Surgery business |
| Zdroj: | Ann R Coll Surg Engl |
| ISSN: | 1478-7083 0035-8843 |
| DOI: | 10.1308/rcsann.2019.0152 |
| Popis: | Introduction The aim of this study was to survey the current practice of UK-based hernia surgeons in elective inguinal hernia repair. Materials and methods A questionnaire was created using SurveyMonkey™ and sent electronically to registered members of the British Hernia Society. Results A total of 368 responses were obtained (a response rate of 55%); 83% were consultant surgeons, 91% were male and 91% stated that they had an interest in laparoscopic surgery. For an uncomplicated inguinal hernia in a male patient, 60% would perform an open Lichtenstein repair, 20% trans-abdominal pre-peritoneal repair and 20% totally extra-peritoneal repair. In a female patient, 54% would perform an open Lichtenstein repair, 25% trans-abdominal pre-peritoneal repair and 21% totally extra-peritoneal repair. 90% always use mesh in inguinal hernia repair. 93% of surgeons rarely or never perform a tissue repair. Conclusions Despite recent controversy, UK surgeons support the use of mesh in the repair of inguinal hernias with an open Lichtenstein repair being the most common choice. There has only been a modest increase in the use of laparoscopic surgery over the past 20 years. |
| Databáze: | OpenAIRE |
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