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Inguinal hernia repair: toward Asian guidelines.

Davide Lomanto1, Wei-Keat Cheah, Jose Macario Faylona

  • 1Minimally Invasive Surgery Centre, Department of Surgery, Yong Loo Lin School of Medicine, National University Health System, National University Singapore, Singapore.

Asian Journal of Endoscopic Surgery
|January 20, 2015
PubMed
Summary

Inguinal hernia repair is a common surgery globally. Asian experts developed guidelines for open repair techniques to improve patient care and address regional practice variations.

Keywords:
Guidelinesherniainguinal hernia

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Area of Science:

  • General Surgery
  • Surgical Innovation
  • Evidence-Based Medicine

Background:

  • Inguinal hernias are prevalent worldwide, with millions of repairs annually, posing a significant socioeconomic challenge.
  • Surgical repair is the standard treatment, but practice variations exist globally, particularly between mesh use in Western countries and tissue repair in developing nations due to cost.
  • The need for standardized best practices in inguinal hernia repair in Asia is evident due to discrepancies in clinical approaches.

Purpose of the Study:

  • To develop consensus and recommendations for best practices in open inguinal hernia repair tailored for the Asian region.
  • To address the socioeconomic and clinical challenges associated with high volumes of hernia repairs in Asia.
  • To provide clear guidelines for surgeons, focusing on the technical aspects of open repair, the most common method in the region.

Main Methods:

  • A consensus meeting of Asian hernia repair experts was convened to discuss inguinal hernia treatments.
  • Twelve key topics concerning open inguinal hernia repair were identified for focused discussion.
  • A comprehensive literature search was conducted, classifying evidence using the Oxford Classification of Evidence and grading recommendations.

Main Results:

  • Unanimous agreement was reached on the necessity for regional guidelines to harmonize clinical practice.
  • The focus was placed on the technical aspects of open inguinal hernia repair, reflecting its prevalence in Asia.
  • Evidence-based recommendations were formulated based on a systematic literature review and expert consensus.

Conclusions:

  • Standardized guidelines for open inguinal hernia repair are crucial for improving surgical outcomes in Asia.
  • The consensus provides a framework for consistent and effective management of inguinal hernias across the region.
  • These recommendations aim to bridge the gap in clinical practice and enhance patient care in Asian healthcare settings.