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Inguinal hernia repair in the Amsterdam region 1994-1996.
- Source :
-
Hernia : the journal of hernias and abdominal wall surgery [Hernia] 2001 Mar; Vol. 5 (1), pp. 37-40. - Publication Year :
- 2001
-
Abstract
- In the Netherlands, approximately 30,000 inguinal hernia repairs are performed yearly. At least 15% are for recurrence. New procedures are being introduced creating discussion on which technique is the best. Currently it is not possible to choose on evidence alone because of the long follow-up that is needed. In 1996 an inventory was taken of all inguinal hernia repairs that were performed in the Amsterdam region (9 hospitals). These results were compared with the results from a similar study performed in 1994. Major changes in treatment strategy were noted. The Bassini repair was replaced by Shouldice and Lichtenstein techniques. There was a significant increase in the use of prostheses for both primary and recurrent inguinal hernias. There was no significant decrease in the percentage of operations performed for recurrent hernia from 19.5% to 16.8%. However, there was a significant decrease in operations performed for early recurrences (5.1%-3.4%) (p = 0.05). These results suggest that the Shouldice and Lichtenstein repairs may be superior to the Bassini repair in terms of early hernia recurrence.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Chi-Square Distribution
Humans
Male
Middle Aged
Netherlands
Prostheses and Implants statistics & numerical data
Recurrence
Reoperation statistics & numerical data
Retrospective Studies
Suture Techniques statistics & numerical data
Hernia, Inguinal surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1265-4906
- Volume :
- 5
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Hernia : the journal of hernias and abdominal wall surgery
- Publication Type :
- Academic Journal
- Accession number :
- 11387721
- Full Text :
- https://doi.org/10.1007/BF01576163