Primary inguinal hernia repair in The Netherlands.
Eur J Surg
; 161(5): 345-8, 1995 May.
Article
em En
| MEDLINE
| ID: mdl-7662779
ABSTRACT
OBJECTIVE:
To assess the operative methods used in Dutch surgical practice to repair the inguinal floor of the primary hernia.DESIGN:
Survey by questionnaire.SETTING:
University department of Surgery, The Netherlands.SUBJECTS:
All Dutch Surgeons. OUTCOMEMEASURES:
Answers to questions about the methods of repair used, specific surgical options, and materials. Comparison of training hospitals and district hospitals.RESULTS:
Replies were received from 145/155 departments (94%), but from only 448/774 individual surgeons (58%). 192 (43%) used one method alone (Bassini 71, Shouldice 49, McVay 36, Griffith 24 and others 12) and 256 (57%) of surgeons used combinations of 11 different methods. Only 9 used a prosthetic mesh and 7 laparoscopic repair. The Shouldice method was significantly more popular in training hospitals compared with non-training hospitals (36%) (71/199) compared with (20%) (48/249) (p < 0.05). There were many modifications to accepted methods. Only 78% (94/121) of surgeons who said that they did a standard shouldice repair incised the transversalis fascia. 64% (287) of surgeons said that they modified their technique to suit individual patients.CONCLUSION:
In the Netherlands there is no standard technique of inguinal hernia repair.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hérnia Inguinal
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Eur J Surg
Ano de publicação:
1995
Tipo de documento:
Article
País de afiliação:
Holanda