Trends in the utilization of inguinal hernia repair techniques: a population-based study

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• 作者：Benjamin Zendejas ; M.D. ; M.Sc.^a ; Tatiana Ramirez ; M.D.^a ; Trahern Jones ; B.A.^b ; Admire Kuchena ; B.S.^b ; Jaime Martinez^a ; Shahzad M. Ali ; M.D.^a ; Christine M. Lohse ; M.S.^c ; David R. Farley ; M.D.^a ; ^{farley.david@mayo.edu}
• 关键词：Inguinal hernia ; Utilization ; Population ; Community ; Technique ; Repair
• 刊名：The American Journal of Surgery
• 出版年：2012
• 期刊代码：9_00029610
• 类别：med
• 出版时间：March, 2012
• 卷：203
• 期：3
• 页码：313-317
• 文件大小：459 K

摘要

Background

The use of inguinal hernia repair techniques in the community setting is poorly understood.

Methods

A retrospective review of all inguinal hernia repairs performed on adult residents of Olmsted County, MN, from 1989 to 2008 was performed through the Rochester Epidemiology Project.

Results

A total of 4,433 inguinal hernia repairs among 3,489 individuals were reviewed. Non-mesh-based repairs predominated in the late 1980s (94%in 1989), declined throughout the 1990s (40%in 1996), and are rarely used nowadays (4%in 2008). Open mesh-based repairs comprised 21%in 1990, peaked in 2001 with 72%, and declined to 55%in 2008. The adoption of laparoscopic repairs began in 1992 (6%) and has increased steadily to 41%in 2008 (P < .001).

Conclusions

Although non-mesh-based repairs, once the predominant method, have been supplanted by open mesh-based techniques, nowadays the use of laparoscopic inguinal hernia repair techniques has increased substantially to nearly equal that of open mesh-based techniques.