OPEN VS LAPAROSCOPIC HERNIA REPAIR IN THE BRAZILIAN PUBLIC HEALTH SYSTEM. AN 11-YEAR NATIONWIDE POPULATION-BASED STUDY
| Autor: | Priscila Bossardi, Tomaz de Jesus Maria Grezzana-Filho, Eduardo Morais Everling, Felipe Melloto Gallotti, Daniela Santos Bandeira, Antoninho José Tonatto-Filho |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Laparoscopic surgery
Adult medicine.medical_specialty Hernia medicine.medical_treatment Population Hernia Inguinal RC799-869 030230 surgery Population studies in public health Abdominal wall 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative Complications medicine Humans Laparoscopy education Herniorrhaphy education.field_of_study medicine.diagnostic_test business.industry Public health General surgery Gastroenterology Middle Aged Surgical Mesh Diseases of the digestive system. Gastroenterology medicine.disease Hernia repair Hernia Femoral Population based study medicine.anatomical_structure Treatment Outcome Herniorrhaphy methods 030220 oncology & carcinogenesis Public Health business Brazil |
| Zdroj: | Arquivos de Gastroenterologia, Vol 57, Iss 4, Pp 484-490 (2020) Arquivos de Gastroenterologia v.57 n.4 2020 Arquivos de gastroenterologia Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia instacron:IBEPEGE |
| ISSN: | 1678-4219 |
| Popis: | BACKGROUND: Abdominal wall hernia is one of the most common surgical pathologies. The advent of minimally invasive surgery raised questions about the best technique to be applied, considering the possibility of reducing postoperative pain, a lower rate of complications, and early return to usual activities. OBJECTIVE: To evaluate the frequency of open and laparoscopic hernioplasties in Brazil from 2008 to 2018, analyzing the rates of urgent and elective surgeries, mortality, costs, and the impact of laparoscopic surgical training on the public health system. METHODS: Nationwide data from 2008 to 2018 were obtained from the public health registry database (DATASUS) for a descriptive analysis of the selected data and parameters. RESULTS: 2,671,347 hernioplasties were performed in the period, an average of 242,850 surgeries per year (99.4% open, 0.6% laparoscopic). The economically active population (aged 20-59) constituted the dominant group (54.5%). There was a significant reduction (P |
| Databáze: | OpenAIRE |
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