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01-10-2015 | Original Article

Inguinal hernia repair in Switzerland

Authors: C. Tschuor, J. Metzger, P. -A. Clavien, R. Vonlanthen, K. Lehmann

Published in: Hernia | Issue 5/2015

Abstract

Purpose

Inguinal hernia repair is one of the most common procedures in visceral surgery, and an important teaching operation for residents during their first years. A variety of surgical approaches is currently available, including open surgery with or without mesh and laparoscopic surgery. Here we assessed the current clinical practice for inguinal hernia surgery in Switzerland and the impact on training of surgical residents.

Methods

An anonymous online survey was performed among surgical clinics of the Swiss Society of Visceral Surgery (SSVS).

Results

The overall response rate was 51 %. Nearly all hernia repairs are performed with prosthetic material, and only 3.2 % of the procedures use no mesh. Overall, open surgery is used for 58.5 % of hernias and 41.5 % are operated laparoscopically. In laparoscopic surgery, TEP is the first choice. Overall, the Lichtenstein repair is the classical teaching operation performed by residents in 77.3 % of cases. In contrast to open surgery, laparoscopic hernia repair is not a training operation and residents perform only 9.7 % of laparoscopic hernia repairs.

Conclusion

The survey confirms the use of prosthetic material as the standard, and the Lichtenstein repair as the first choice for primary inguinal hernia repair. The popularity of laparoscopic hernia surgery is increasing at the price of less teaching operations available for young residents.

http://www.bfs.admin.ch/bfs/portal/de/index/themen/14/04/01/data/01/05.html

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Title: Inguinal hernia repair in Switzerland
Authors: C. Tschuor
J. Metzger
P. -A. Clavien
R. Vonlanthen
K. Lehmann
Publication date: 01-10-2015
Publisher: Springer Paris
Published in: Hernia / Issue 5/2015
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-015-1385-2

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Inguinal hernia repair in Switzerland

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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