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EHS guidelines for inguinal hernia repair. The reality of the current situation in Spain. A proposal to standardize
José Antonio Pereira Rodríguez1, Manuel López Cano2
1Servicio de Cirugía General y Digestiva, Parc de Salut Mar, Hospital del Mar, Barcelona, Spain; Departament de Medicina i Ciéncies de la Salut, Universitat Pompeu Fabra, Barcelona, Spain.
Abstract:
Laparoscopic inguinal hernia repairs are underused in our country and do not fulfil to the recommendations of the European Hernia Society (EHS) guidelines. Thus, it is essential to establish measures that increase its use. We propose that the Spanish Association of Surgeons (AEC) promote these actions and that they should be incorporated into the specialty program. The proposed measures include Standardization of learning; reinforce anatomical knowledge; regulated practices with simulators; promote the use of the open posterior approach; rotations through centers of excellence; accreditation of specialized units and use a registry of activity as quality control.
