Current practices of laparoscopic inguinal hernia repair: a population-based analysis

Hernia : the Journal of Hernias and Abdominal Wall Surgery
M TrevisonnoM C Vassiliou

Abstract

The selection of a laparoscopic approach for inguinal hernias varies among surgeons. It is unclear what is being done in actual practice. The purpose of this study was to report practice patterns for treatment of inguinal hernias among Quebec surgeons, and to identify factors that may be associated with the choice of operative approach. We studied a population-based cohort of patients who underwent an inguinal hernia repair between 2007 and 2011 in Quebec, Canada. A generalized linear model was used to identify predictors associated with the selection of a laparoscopic approach. 49,657 inguinal hernias were repaired by 478 surgeons. Laparoscopic inguinal hernia repair (LIHR) was used in 8 % of all cases. LIHR was used to repair 28 % of bilateral hernias, 10 % of recurrent hernias, 6 % of unilateral hernias, and 4 % of incarcerated hernias. 268 (56 %) surgeons did not perform any laparoscopic repairs, and 11 (2 %) surgeons performed more than 100 repairs. These 11 surgeons performed 61 % of all laparoscopic cases. Patient factors significantly associated with having LIHR included younger age, fewer comorbidities, bilateral hernias, and recurrent hernias. An open approach is favored for all clinical scenarios, even for situations...Continue Reading

References

Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
Jan 22, 2003·The Cochrane Database of Systematic Reviews·K McCormackUNKNOWN EU Hernia Trialists Collaboration
Nov 15, 2003·Lancet·Andrew Kingsnorth, Karl LeBlanc
Apr 27, 2004·The New England Journal of Medicine·Leigh NeumayerUNKNOWN Veterans Affairs Cooperative Studies Program 456 Investigators
May 6, 2004·Journal of Clinical Epidemiology·Machelle WilcheskyAllen Huang
Nov 23, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G DucarmeC Poncelet
Jun 28, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J Rosenberg, M Bay-Nielsen
Jul 29, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M P SimonsM Miserez
Nov 18, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Douglas S SminkSamuel R G Finlayson
Nov 3, 2010·Journal of Surgical Education·Fuad AlkhouryGeoffrey Nadzam
Apr 23, 2011·Surgical Endoscopy·Alia QureshiAllan Okrainec
Jan 10, 2012·American Journal of Surgery·Benjamin ZendejasDavid R Farley
Mar 23, 2012·Surgical Endoscopy·Salvador Morales-CondeAbe Fingerhut
Aug 1, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M TrevisonnoM C Vassiliou

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Citations

Jul 1, 2015·Surgical Endoscopy·Adrian E ParkGuy Voeller
Aug 16, 2016·Advances in Surgery·James G Bittner
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Oct 31, 2018·Surgical Endoscopy·K Keano PavloskyDean J Mikami
Aug 21, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G IvakhovA Sazhin
Dec 2, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G RamsayJ O Jansen
Jul 15, 2017·Journal of Robotic Surgery·Andrew Iraniha, Joshua Peloquin
Sep 24, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J K RamjistN N Baxter
May 27, 2017·International Urogynecology Journal·Edward MorcosUNKNOWN Nordic TVM group
Apr 29, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·T J HolleranF J Brody

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