Introduction: The aim of this study was to survey the current practice of UK-based hernia surgeons in elective inguinal hernia repair.
Materials And Methods: A questionnaire was created using SurveyMonkey™ and sent electronically to registered members of the British Hernia Society.
Results: A total of 368 responses were obtained (a response rate of 55%); 83% were consultant surgeons, 91% were male and 91% stated that they had an interest in laparoscopic surgery. For an uncomplicated inguinal hernia in a male patient, 60% would perform an open Lichtenstein repair, 20% trans-abdominal pre-peritoneal repair and 20% totally extra-peritoneal repair. In a female patient, 54% would perform an open Lichtenstein repair, 25% trans-abdominal pre-peritoneal repair and 21% totally extra-peritoneal repair. 90% always use mesh in inguinal hernia repair. 93% of surgeons rarely or never perform a tissue repair.
Conclusions: Despite recent controversy, UK surgeons support the use of mesh in the repair of inguinal hernias with an open Lichtenstein repair being the most common choice. There has only been a modest increase in the use of laparoscopic surgery over the past 20 years.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027407 | PMC |
| http://dx.doi.org/10.1308/rcsann.2019.0152 | DOI Listing |
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