A United Kingdom survey of surgical technique and handling practice of inguinal canal structures during hernia surgery.

Surgery
Rajan RavindranPeter M King

Abstract

Recent trials have assessed the impact of elective nerve division on patient outcome after inguinal herniorrhaphy. The aim of this study was to establish UK surgical practice of handling of structures in the inguinal canal during herniorrhaphy. A cross-sectional survey of all Fellows (n = 1113) of the Association of Surgeons of Great Britain and Ireland (ASGBI) was performed. The main outcomes were to determine method of inguinal hernia repair and routine practice for intra-operative handling of structures in the inguinal canal. A total of 852 (77%) questionnaires were returned, of which 784 (92%) surgeons performed inguinal herniorrhaphy. Approximately two-thirds (63%) of responding surgeons performed less than 50 procedures per annum and 37% conducted more than 50 procedures annually. Mesh was the preferred method used by 90% of surgeons; 6% used non-mesh, and 4% used other (laparoscopic) methods. Routine practice in relation to the inguinal structures varied by volume of hernia surgery; surgeons who conducted more than 50 procedures annually were more likely to visualize and preserve inguinal nerve structures. However, inconsistency in the answers suggested confusion over anatomy. This is the first UK survey to investigate m...Continue Reading

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Citations

Dec 16, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A R WijsmullerJ F Lange
Sep 1, 2006·Journal of Minimal Access Surgery·Tehemton E Udwadia
Apr 30, 2011·World Journal of Gastroenterology : WJG·Abdul Hakeem, Venkatesh Shanmugam
Feb 11, 2010·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S SmedsO Eriksson
Aug 26, 2009·World Journal of Surgery·René Gordon Holzheimer
Oct 27, 2011·International Surgery·Abdul Hakeem, Venkatesh Shanmugam
Feb 13, 2008·The Surgical Clinics of North America·David B Earle, Lisa A Mark
Jan 13, 2016·Annals of Surgery·Ahmed Waleed Habib BarazanchiAndrew Graham Hill
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Jan 19, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B O IsmailaA Z Sule
Oct 26, 2018·Surgical Endoscopy·Adam TruongShirin Towfigh
Sep 29, 2020·Annals of the Royal College of Surgeons of England·V SivarajahS Jeyarajah
Aug 21, 2021·Annals of the Royal College of Surgeons of England·B J FarquharsonS Jeyarajah

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