P Estridge1, D L Sanders2, A N Kingsnorth3,4. 1. Department of Abdominal Wall and Upper GI Surgery, North Devon District Hospital, Barnstaple, UK. 2. Department of Abdominal Wall and Upper GI Surgery, North Devon District Hospital, Barnstaple, UK. Dsanders3@nhs.net. 3. Former Professor of Surgery, Peninsula College of Medicine and Dentistry, Plymouth, UK. 4. Hernia International, Plymouth, UK.
Abstract
INTRODUCTION: In this invited commentary, we aim to quantify and explain the variation between, and also within, developed healthcare systems (using the UK as an example) and low- to middle-income countries (LMICs). Rather than including complex cases, we have looked only at 'uncomplicated' primary unilateral inguinal hernias, an area where limited variation may be identified. METHODS: Data were obtained from Hospital Episode Statistics and structured surveys in the United Kingdom and in low- and middle-income countries. CONCLUSION: There is widespread variation in the repair of 'uncomplicated' primary inguinal hernias worldwide and within developed healthcare systems.
INTRODUCTION: In this invited commentary, we aim to quantify and explain the variation between, and also within, developed healthcare systems (using the UK as an example) and low- to middle-income countries (LMICs). Rather than including complex cases, we have looked only at 'uncomplicated' primary unilateral inguinal hernias, an area where limited variation may be identified. METHODS: Data were obtained from Hospital Episode Statistics and structured surveys in the United Kingdom and in low- and middle-income countries. CONCLUSION: There is widespread variation in the repair of 'uncomplicated' primary inguinal hernias worldwide and within developed healthcare systems.
Entities:
Keywords:
Hernia (inguinal); Surgical technique; Variations in Parctice
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