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Groin hernia repair in Scotland.
Br J Surg. 2000 Dec; 87(12):1722-6.BJ

Abstract

BACKGROUND

The use of mesh for groin hernia repair has dramatically changed the way this common operation is performed. The aim of this study was to survey the methods of groin hernia repair in Scotland and to assess patient satisfaction with the operation.

METHODS

Between 1 April 1998 and 31 March 1999 all patients who underwent groin hernia repair in the National Health Service in Scotland were identified. As well as looking at the type of hernia repair performed and postoperative morbidity, patients were sent a Short Form-36 about 3 months after the operation to assess satisfaction and return to normal activity.

RESULTS

Information was obtained on 5506 (97 per cent) of patients who underwent groin hernia repair during the study period. Eighty-five per cent of patients had an open mesh repair and 4 per cent had a laparoscopic repair. Most operations (85 per cent) were performed using general anaesthesia on an inpatient basis (78 per cent), and 8 per cent were for repair of a recurrent hernia. Potentially serious intraoperative complications were rare (seven patients), although they were significantly (P < 0. 001) more likely to be associated with a laparoscopic approach or repair of a femoral hernia: relative risk compared with open inguinal hernia repair 33 (95 per cent confidence interval (c.i.) 6-197) and 22 (95 per cent c.i. 3-152) respectively. Wound complications were common and 10 per cent of patients required a district nurse to attend the wound. Patients expressed a high degree of satisfaction; 94 per cent would recommend the same operation to someone else if required.

CONCLUSION

An open mesh repair using general anaesthesia has become the repair of choice for a groin hernia in Scotland. Despite a high incidence of wound complications, patients are satisfied with this operation.

Authors+Show Affiliations

University Department of Surgery, Western Infirmary, Glasgow, Western General Hospital, Edinburgh and Health Economics Unit, Greater Glasgow Health Board, Glasgow, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11122192

Citation

Hair, A, et al. "Groin Hernia Repair in Scotland." The British Journal of Surgery, vol. 87, no. 12, 2000, pp. 1722-6.
Hair A, Duffy K, McLean J, et al. Groin hernia repair in Scotland. Br J Surg. 2000;87(12):1722-6.
Hair, A., Duffy, K., McLean, J., Taylor, S., Smith, H., Walker, A., MacIntyre, I. M., & O'Dwyer, P. J. (2000). Groin hernia repair in Scotland. The British Journal of Surgery, 87(12), 1722-6.
Hair A, et al. Groin Hernia Repair in Scotland. Br J Surg. 2000;87(12):1722-6. PubMed PMID: 11122192.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Groin hernia repair in Scotland. AU - Hair,A, AU - Duffy,K, AU - McLean,J, AU - Taylor,S, AU - Smith,H, AU - Walker,A, AU - MacIntyre,I M, AU - O'Dwyer,P J, PY - 2000/12/21/pubmed PY - 2001/2/28/medline PY - 2000/12/21/entrez SP - 1722 EP - 6 JF - The British journal of surgery JO - Br J Surg VL - 87 IS - 12 N2 - BACKGROUND: The use of mesh for groin hernia repair has dramatically changed the way this common operation is performed. The aim of this study was to survey the methods of groin hernia repair in Scotland and to assess patient satisfaction with the operation. METHODS: Between 1 April 1998 and 31 March 1999 all patients who underwent groin hernia repair in the National Health Service in Scotland were identified. As well as looking at the type of hernia repair performed and postoperative morbidity, patients were sent a Short Form-36 about 3 months after the operation to assess satisfaction and return to normal activity. RESULTS: Information was obtained on 5506 (97 per cent) of patients who underwent groin hernia repair during the study period. Eighty-five per cent of patients had an open mesh repair and 4 per cent had a laparoscopic repair. Most operations (85 per cent) were performed using general anaesthesia on an inpatient basis (78 per cent), and 8 per cent were for repair of a recurrent hernia. Potentially serious intraoperative complications were rare (seven patients), although they were significantly (P < 0. 001) more likely to be associated with a laparoscopic approach or repair of a femoral hernia: relative risk compared with open inguinal hernia repair 33 (95 per cent confidence interval (c.i.) 6-197) and 22 (95 per cent c.i. 3-152) respectively. Wound complications were common and 10 per cent of patients required a district nurse to attend the wound. Patients expressed a high degree of satisfaction; 94 per cent would recommend the same operation to someone else if required. CONCLUSION: An open mesh repair using general anaesthesia has become the repair of choice for a groin hernia in Scotland. Despite a high incidence of wound complications, patients are satisfied with this operation. SN - 0007-1323 UR - https://www.unboundmedicine.com/medline/citation/11122192/Groin_hernia_repair_in_Scotland_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&amp;sid=nlm:pubmed&amp;issn=0007-1323&amp;date=2000&amp;volume=87&amp;issue=12&amp;spage=1722 DB - PRIME DP - Unbound Medicine ER -