ArticleHernia : the journal of hernias and abdominal wall surgery2011
NICE guidance and current practise of recurrent and bilateral groin hernia repair by Scottish surgeons.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Meta-analysis and review of prospective randomized trials comparing laparoscopic and Lichtenstein techniques in recurrent inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2015Pooled it
- Inguinal hernia repair in Nigeria: a survey of surgical trainees.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- [Legal relevance of guidelines : Contextualization exemplified by international recommendations for treatment of inguinal hernia in adults].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Review
- Substantial variation among hernia experts in the decision for treatment of patients with incisional hernia: a descriptive study on agreement.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
- Tailored anterior tension-free repair for the treatment of recurrent inguinal hernia previously repaired by anterior approach.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- Evidence-Based Hernia Treatment in Adults.Deutsches Arzteblatt international · 2016Review
- Self-gripping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients.Open medicine (Warsaw, Poland) · 2016Article
- A national trainee-led audit of inguinal hernia repair in Scotland.Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- Self-gripping mesh versus staple fixation in laparoscopic inguinal hernia repair: a prospective comparison.Surgical endoscopy · 2013Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundNICE (National Institute of Health and Clinical Excellence) in England recommended laparoscopic repair for recurrent and bilateral groin hernias in 2004. The aims of this survey were to evaluate the current practise of bilateral and recurrent inguinal hernia surgery in Scotland and surgeons' views on the perceived need for training in laparoscopic inguinal hernia repair (LIHR).
methodsA postal questionnaire was sent to Scottish consultant surgeons included in the Scottish Audit of Surgical Audit database 2007, asking about their current practice of primary, recurrent and bilateral inguinal hernia surgery. A response was considered valid if the surgeon performed groin hernia surgery; further analysis was based on this group. Those who did not offer LIHR were asked to comment on the possible reasons, and also the perceived need for training in laparoscopic hernia surgery. Only valid responses were stored on Microsoft Excel (Microsoft Corporation, USA) and analysed with SPSS software version 13.0 (SPSS, Chicago, Illinois).
resultsPostal questionnaires were sent to 301 surgeons and the overall all response rate was 174/301 (57.8%). A valid response was received from 124 of 174 (71.2%) surgeons and analysed further. Open Lichtenstein's repair seems to be the most common inguinal hernia repair. Laparoscopic surgery was not performed for 26.6 and 31.5% of recurrent and bilateral inguinal hernia, respectively. About 15% of surgeons replied that an LIHR service was not available in their base hospital. Lack of training, financial constraints, and insufficient evidence were thought to be the main reasons for low uptake of LIHR. About 80% of respondents wished to attend hands-on training in hernia surgery.
conclusionsCurrent practice by Scottish surgeons showed that one in three surgeons did not offer LIHR for bilateral and recurrent inguinal hernia as recommended by NICE. There is a clear need for training in LIHR.
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