Surgical management of inguinal hernia: retrospective cohort study in southeastern Scotland, 1985-2001

Recent reports have indicated that laparoscopic repair is associated with less immediate postoperative pain and a faster return to normal activities, particularly for recurrent and bilateral hernias. 2 Large case series indicate recurrence rates for open and laparoscopic mesh repairs as low as 0.2%,...

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Published inBMJ Vol. 329; no. 7478; pp. 1315 - 1316
Main Authors Atkinson, H D E, Nicol, S G, Purkayastha, S, Paterson-Brown, S
Format Journal Article
LanguageEnglish
Published London British Medical Journal Publishing Group 04.12.2004
British Medical Association
BMJ Publishing Group LTD
BMJ Publishing Group
BMJ Publishing Group Ltd
EditionInternational edition
Subjects
Biological and medical sciences
Censuses
Clinical audits
Clinical outcomes
Cohort analysis
Cohort Studies
General aspects
Hernia, Inguinal - epidemiology
Hernia, Inguinal - surgery
Hernias
Herniorrhaphy
Hospitals
Humans
Inguinal hernia
Laparoscopy
Laparoscopy - methods
Laparoscopy - statistics & numerical data
Medical sciences
Medical treatment
Postoperative pain
Prostheses
Public health
Recurrence
Recurrent
Retrospective Studies
Scotland - epidemiology
Surgery
Surgical Mesh
Surgical techniques
Suturing
United Kingdom
Scotland
Great Britain
Europe
United Kingdom > UK
Medicine
Clinical management
Treatment
Surgery
Cohort study
Inguinal hernia
Retrospective
Public health
Online AccessGet full text
ISSN0959-8138
0959-8146
1756-1833
1468-5833
1756-1833
DOI10.1136/bmj.38282.675556.F7

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Summary:Recent reports have indicated that laparoscopic repair is associated with less immediate postoperative pain and a faster return to normal activities, particularly for recurrent and bilateral hernias. 2 Large case series indicate recurrence rates for open and laparoscopic mesh repairs as low as 0.2%, 3 and randomised trials of open primary IHR, with follow up as short as two years, have consistently found fewer recurrences associated with using mesh than not, 2 4 with similar results reported for recurrent hernias. 5 We examined these changing trends in IHR in southeastern Scotland between 1985 and 2001.
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Correspondence to: H D E Atkinson
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Contributors: HDEA and SP-B designed the study. HDEA collected the data. HDEA, SGN, and SP analysed the data and wrote the initial draft. SGN and HDEA revised the draft and prepared the final manuscript. HDEA is guarantor.
Correspondence to: H D E Atkinson duscha@hotmail.com
We thank Stephanie C Lewis for her help and advice with the statistics.
Funding: None.
This article was posted on bmj.com on 16 November 2004: http://bmj.com/cgi/doi/10.1136/bmj.38282.675556.F7
Competing interests: None declared.
Ethical approval: Not needed.
ISSN:0959-8138
0959-8146
1756-1833
1468-5833
1756-1833
DOI:10.1136/bmj.38282.675556.F7