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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
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.
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.
