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Open Access 01-04-2010 | Original Article

Inguinal hernia surgery in the Netherlands: are patients treated according to the guidelines?

Authors: D. H. de Lange, M. Kreeft, G. H. van Ramshorst, T. J. Aufenacker, J. A. Rauwerda, M. P. Simons

Published in: Hernia | Issue 2/2010

Abstract

Purpose

In 2003, a dedicated Dutch committee developed evidence-based guidelines for the treatment of inguinal hernia (IH) in children and adults. The aim of this study was to describe trends in hernia care before and after the publication of the guidelines on IH surgery in the Netherlands.

Methods

Originally, a retrospective baseline analysis of IH surgery in 90 Dutch hospitals was performed among patients treated for IH in 2001. The results of this baseline analysis were compared with a recently performed second analysis of patients treated for IH in 2005.

Results

In children <4 years of age, the study showed a significant decrease of contralateral explorations. In adults, the study showed that significantly more patients were treated with a mesh-based repair in 2005 (95.9 vs. 78.8%, P < 0.01). Moreover, there was an increase of patients with bilateral hernia treated with an endoscopic technique (41.5 vs. 22.3%, P < 0.01) and more patients were treated in day surgery (53.5 vs. 38.6%, P < 0.01). Lastly, a decline in operations performed for recurrent IH in adults was observed (10.9 vs. 13.3%, P < 0.01).

Conclusion

This study showed that most patients with IH in the Netherlands were treated according to the main recommendations of the Dutch evidence-based guidelines.

Simons MP, de Lange D, Beets GL, van Geldere D, Heij HA, Go PM (2003) De richtlijn behandeling liesbreuk voor de nederlandse vereniging voor heelkunde. Ned Tijdschr Geneeskd 147(43):2111–2117PubMed

de Lange DH, Aufenacker TJ, Roest M, Simmermacher RK, Gouma DJ, Simons MP (2005) Inguinal hernia surgery in The Netherlands: a baseline study before the introduction of the Dutch Guidelines. Hernia 9(2):172–177CrossRefPubMed

Koivusalo AI, Korpela R, Wirtavuori K, Piiparinen S, Rintala RJ, Pakarinen MP (2009) A single-blinded, randomized comparison of laparoscopic versus open hernia repair in children. Pediatrics 123(1):332–337CrossRefPubMed

Saranga Bharathi R, Arora M, Baskaran V (2008) Minimal access surgery of pediatric inguinal hernias: a review. Surg Endosc 22(8):1751–1762CrossRefPubMed

Bonnard A, Aigrain Y (2003) Inguinal hernias in children. Rev Prat 53(15):1667–1670PubMed

Jarrett PE (2001) Day care surgery. Eur J Anaesthesiol Suppl 23:32–35PubMed

Prabhu A, Chung F (2001) Anaesthetic strategies towards developments in day care surgery. Eur J Anaesthesiol Suppl 23:36–42PubMed

O’Dwyer PJ, Serpell MG, Millar K, Paterson C, Young D, Hair A et al (2003) Local or general anesthesia for open hernia repair: a randomized trial. Ann Surg 237(4):574–579CrossRefPubMed

van Veen RN, Mahabier C, Dawson I, Hop WC, Kok NF, Lange JF et al (2008) Spinal or local anesthesia in Lichtenstein hernia repair: a randomized controlled trial. Ann Surg 247(3):428–433CrossRefPubMed

10.

Song D, Greilich NB, White PF, Watcha MF, Tongier WK (2000) Recovery profiles and costs of anesthesia for outpatient unilateral inguinal herniorrhaphy. Anesth Analg 91(4):876–881CrossRefPubMed

11.

Aufenacker TJ, Schmits SP, Gouma DJ, Simons MP (2009) Do guidelines influence results in inguinal hernia treatment? A descriptive study of 2,535 hernia repairs in one teaching hospital from 1994 to 2004. Hernia 13(1):35–39CrossRefPubMed

12.

Wilkiemeyer M, Pappas TN, Giobbie-Hurder A, Itani KM, Jonasson O, Neumayer LA (2005) Does resident post graduate year influence the outcomes of inguinal hernia repair? Ann Surg 241(6):879–882CrossRefPubMed

13.

Aufenacker TJ, de Lange DH, Burg MD, Kuiken BW, Hensen EF, Schoots IG et al (2005) Hernia surgery changes in the Amsterdam region 1994–2001: decrease in operations for recurrent hernia. Hernia 9(1):46–50CrossRefPubMed

14.

Aasvang E, Kehlet H (2005) Chronic postoperative pain: the case of inguinal herniorrhaphy. Br J Anaesth 95(1):69–76CrossRefPubMed

15.

Poobalan AS, Bruce J, Smith WC, King PM, Krukowski ZH, Chambers WA (2003) A review of chronic pain after inguinal herniorrhaphy. Clin J Pain 19(1):48–54CrossRefPubMed

Title: Inguinal hernia surgery in the Netherlands: are patients treated according to the guidelines?
Authors: D. H. de Lange
M. Kreeft
G. H. van Ramshorst
T. J. Aufenacker
J. A. Rauwerda
M. P. Simons
Publication date: 01-04-2010
Publisher: Springer-Verlag
Published in: Hernia / Issue 2/2010
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-009-0578-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Inguinal hernia surgery in the Netherlands: are patients treated according to the guidelines?

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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