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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Consensus on international guidelines for management of groin hernias
Surgical Endoscopy, Volume 34, No. 6, Year 2020
Notification
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Description
Background: Groin hernia management has a significant worldwide diversity with multiple surgical techniques and variable outcomes. The International guidelines for groin hernia management serve to help in groin hernia management, but the acceptance among general surgeons remains unknown. The aim of our study was to gauge the degree of agreement with the guidelines among health care professionals worldwide. Methods: Forty-six key statements and recommendations of the International guidelines for groin hernia management were selected and presented at plenary consensus conferences at four international congresses in Europe, the America’s and Asia. Participants could cast their votes through live voting. Additionally, a web survey was sent out to all society members allowing online voting after each congress. Consensus was defined as > 70% agreement among all participants. Results: In total 822 surgeons cast their vote on the key statements and recommendations during the four plenary consensus meetings or via the web survey. Consensus was reached on 34 out of 39 (87%) recommendations, and on six out of seven (86%) statements. No consensus was reached on the use of light versus heavy-weight meshes (69%), superior cost-effectiveness of day-case laparo-endoscopic repair (69%), omitting prophylactic antibiotics in hernia repair, general or local versus regional anesthesia in elderly patients (55%) and re-operation in case of immediate postoperative pain (59%). Conclusion: Globally, there is 87% consensus regarding the diagnosis and management of groin hernias. This provides a solid basis for standardizing the care path of patients with groin hernias. © 2020, Springer Science+Business Media, LLC, part of Springer Nature.
Authors & Co-Authors
Hope, William W.
Unknown Affiliation
Bonjer, Hendrik Jaap
Netherlands, Amsterdam
Amsterdam Umc - University of Amsterdam
Berrevoet, Frederik C.
Unknown Affiliation
Campanelli, Giampiero P.
Unknown Affiliation
de Beaux, Andrew Charles
Unknown Affiliation
Eker, Hasan Hüseyin
Unknown Affiliation
Gillion, Jean François
Unknown Affiliation
Jørgensen, Lars Nannestad
Unknown Affiliation
Klinge, Uwe
Unknown Affiliation
Konaté, Ibrahima
Unknown Affiliation
López-Cano, Manuel
Unknown Affiliation
Miserez, Marc
Unknown Affiliation
Montgomery, Agneta K.
Unknown Affiliation
Morales-Conde, Salvador
Unknown Affiliation
Muysoms, Filip E.
Unknown Affiliation
Nordin, Par̈
Unknown Affiliation
Van Ramshorst, G. H.
Unknown Affiliation
Reinpold, Wolfgang Matthias Johann
Unknown Affiliation
Sanders, David L.
Unknown Affiliation
Sani, Rachid
Unknown Affiliation
Statistics
Citations: 34
Authors: 20
Affiliations: 2
Identifiers
Doi:
10.1007/s00464-020-07516-5
ISSN:
09302794
Research Areas
Health System And Policy
Study Design
Cross Sectional Study
Study Approach
Quantitative