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- Title
Inguinal hernia surgery in The Netherlands: a baseline study before the introduction of the Dutch Guidelines.
- Authors
de Lange, D. H.; Aufenacker, Th. J.; Roest, M.; Simmermacher, R. K. J.; Gouma, D. J.; Simons, M. P.
- Abstract
<bold>Background: </bold>In 2003 the Dutch Guidelines for treatment of inguinal hernia (IH) were published. For treatment of IH in adults, the evidence-based guidelines recommend the use of a mesh repair technique. In order to be able to evaluate the effects of these guidelines, a baseline analysis of inguinal hernia surgery before the introduction of these guidelines had to be performed. The second analysis will be performed two years (January-March 2005) after the publication of the Guidelines.<bold>Objective: </bold>To make an inventory of IH surgery in the Netherlands, before the introduction of guidelines for IH treatment, to serve as a baseline for future evaluation of the impact of the implementation of these guidelines.<bold>Methods: </bold>A retrospective descriptive study was performed in 2003 using patient and operation charts including IH repairs performed in The Netherlands over a three-month period (January-March 2001).<bold>Results: </bold>97/133 (73%) hospitals cooperated with the study, generating data from a total of 4386 IH in 3979 patients (3284 adults, 695 children). Mesh techniques were used in 2839 (78%) adult inguinal hernias while 800 (22%) patients were treated with non-mesh techniques. 484 (14.7%) adult patients were operated on during the study period for a recurrent hernia from previous years. Early recurrence (<1 year) occurred in 2.2% of all patients. Wound infection was documented in 0.8% of all IH. The mortality rate was 0.1%. 1257 of the 3284 (38.3%) adults, and 566 of the 695 children (81.4%), were operated on in ambulatory care.<bold>Conclusions: </bold>In the episode prior to implementation of the Dutch evidence-based Guidelines for treatment of inguinal hernia, 2839 (78%) adult patients were treated with mesh repair and 484 (13.3%) patients were treated for a recurrent hernia.
- Subjects
NETHERLANDS; HERNIA surgery; INGUINAL hernia; OUTPATIENT services in hospitals; PREOPERATIVE care; OUTPATIENT medical care; HERNIA; ABDOMINAL surgery; CHI-squared test; COMPARATIVE studies; DEMOGRAPHY; LAPAROSCOPY; RESEARCH methodology; MEDICAL cooperation; MEDICAL protocols; PROBABILITY theory; PROGNOSIS; RESEARCH; RISK assessment; SURGICAL complications; EVIDENCE-based medicine; DISEASE relapse; EVALUATION research; TREATMENT effectiveness; DISEASE incidence; RETROSPECTIVE studies; SURGICAL meshes; DIAGNOSIS; SURGERY
- Publication
Hernia, 2005, Vol 9, Issue 2, p172
- ISSN
1265-4906
- Publication type
journal article
- DOI
10.1007/s10029-005-0317-y