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Closer to an ideal solution for inguinal hernia repair: comparison between general surgeons and hernia specialists
A I Gilbert1, M F Graham, J Young
1Hernia Institute of Florida, University of Miami Miller Medical School, Miami, Fl, 33143, USA. Bigart32@aol.com
Background:
It is accepted a priori that specialists of hernia surgery have better results than general surgeons who use the same or different techniques as part of their complete surgical repertoire.
Methods:
Results of general surgeons trained in the technique of hernia repair using a bilayer connected mesh device (BCMD) was compared to results of specialists and other general surgeons who used other techniques.
Results:
One report from hernia specialists and three additional reports from trained general surgeons showed similar results using a BCMD. These results were better than results of all other mesh repairs.
Discussion:
This study shows the value of surgeon-training as well as the value in the design of a particular mesh device for hernia repair. The three components of this device offer three separate, yet connected, barriers to the formation of a recurrent hernia.
Conclusion:
General surgeons trained to use a bilayer mesh device repeatedly duplicated the results of specialists who used it.
