D Light1, B M Stephenson2, D L Sanders3. 1. Northumbria NHS Trust, North Shields, UK. 2. Royal Gwent Hospital, Newport, UK. 3. North Devon District Hospital, Barnstaple, UK.
Abstract
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.
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.
Authors: R Bittner; M E Arregui; T Bisgaard; M Dudai; G S Ferzli; R J Fitzgibbons; R H Fortelny; U Klinge; F Kockerling; E Kuhry; J Kukleta; D Lomanto; M C Misra; A Montgomery; S Morales-Conde; W Reinpold; J Rosenberg; S Sauerland; C Schug-Pass; K Singh; M Timoney; D Weyhe; P Chowbey Journal: Surg Endosc Date: 2011-07-13 Impact factor: 4.584
Authors: A Aiolfi; M Cavalli; G Micheletto; F Lombardo; G Bonitta; A Morlacchi; P G Bruni; G Campanelli; D Bona Journal: Hernia Date: 2019-05-14 Impact factor: 4.739
Authors: Brian C George; Jordan D Bohnen; Reed G Williams; Shari L Meyerson; Mary C Schuller; Michael J Clark; Andreas H Meier; Laura Torbeck; Samuel P Mandell; John T Mullen; Douglas S Smink; Rebecca E Scully; Jeffrey G Chipman; Edward D Auyang; Kyla P Terhune; Paul E Wise; Jennifer N Choi; Eugene F Foley; Justin B Dimick; Michael A Choti; Nathaniel J Soper; Keith D Lillemoe; Joseph B Zwischenberger; Gary L Dunnington; Debra A DaRosa; Jonathan P Fryer Journal: Ann Surg Date: 2017-10 Impact factor: 12.969