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

doi:10.1136/bmj.38282.675556.F7

BMJ 2004;329:1315-1316 (4 December), doi:10.1136/bmj.38282.675556.F7 (published 16 November 2004)

Paper

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

H D E Atkinson, specialist registrar¹, S G Nicol, specialist registrar², S Purkayastha, senior house officer³, S Paterson-Brown, consultant⁴

¹ Charing Cross Hospital, London W6 8RF Department of Orthopaedic and Trauma Surgery, ² Department of Trauma and Orthopaedic Surgery, Bristol Royal Infirmary, ³ Department of General Surgery, St Mary's Hospital, London, ⁴ Department of Surgery, Royal Infirmary of Edinburgh

Correspondence to: H D E Atkinson duscha@hotmail.com

The first 150 words of the full text of this article appear below.

Introduction

Inguinal hernia repair (IHR) is the most common general surgicalprocedure in the United Kingdom, with an estimated 80 000 casesa year. The past decade has seen an increase in the use of prostheticmesh in open and laparoscopic hernia repair based on the premiseof a tension-free repair.¹ Conversely, although traditionalrepair with suturing using the Shouldice technique has beenreported with low rates of recurrence, it is difficult to learnand often associated with high rates of recurrence when donein the wider community. Recent reports have indicated that laparoscopicrepair is associated with less immediate postoperative painand a faster return to normal activities, particularly for recurrentand bilateral hernias.² Large case series indicate recurrencerates for open and laparoscopic mesh repairs as low as 0.2%,³and randomised trials of open primary IHR, with follow up asshort as two years, have consistently found fewer recurrences. . . [Full text of this article]

Participants, methods, and results

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