ArticleAnnals of the Royal College of Surgeons of England2022
What's the SCORE? Current management of symptomatic, clinically occult, radiologically evident inguinal hernias.
Article in Annals of the Royal College of Surgeons of England, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 author.
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Abstract
introductionSymptomatic, clinically occult, radiologically evident inguinal hernias (SCORE-IH) are challenging due to diagnostic uncertainty and a lack of treatment consensus. This study explores current practice among surgeons treating SCORE-IH.
methodsA trainee-led research collaborative (STEER) disseminated a validated online survey among UK and international consultants. Collated responses were analysed to determine surgeons' experience and approach to the management of SCORE-IH.
resultsA total of 73 responses were received. Overall, 26% of respondents performed more than 100 IH repairs annually. Nearly two-thirds (62%) were unaware of SCORE-IH guidelines. Surgeons chose ultrasonography (31.5%) or ultrasonography with magnetic resonance imaging (24.6%) to manage SCORE-IH. Surgeons managed SCORE-IH conservatively or operatively in 31% and 36% of cases, respectively. Surgeons' experience and laparoscopic capacity did not correlate with their approach to SCORE-IH management.
conclusionsThere is heterogeneity in SCORE-IH management, likely due to an absence of adequate guidelines. The results highlight that further SCORE-IH research is needed to achieve consensus.
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