Data di Pubblicazione:
2004
Abstract:
Hernia repair is the most common surgical procedure in general surgery in Italy and in the Lombardy region. In the last decade, the use of mesh, the concept of a tension-free technique, and the postoperative rate of recurrences after Bassini or Shouldice operations have completely changed the surgical approach to hernia repair. For this reason, we sent a questionnaire to 148 surgical departments in the Lombardy region to investigate about total hernia operations performed in 2000 in Lombardy, the surgical approach, the surgical techniques used, the type of anesthesia and the hospital stay. One hundred five out of 148 surgical departments returned the questionnaire, and we collected information on a total of 16,935 surgical operations for hernia: 16,494 were performed using tension-free techniques. The inguinal anterior approach is the one of choice for primary and recurrent inguinal hernia, whereas the open preperitoneal and laparoscopic approaches are limited to bilateral and recurrent hernias. The majority of cases were treated under locoregional anesthesia and with a hospital stay of two nights.
Tipologia CRIS:
Articolo su Rivista
Keywords:
Hernia; Hospital stay; Mesh; Surgical repair; Anesthesia; Female; Follow-Up Studies; Health Care Surveys; Hernia; Humans; Italy; Laparoscopy; Laparotomy; Male; Postoperative Complications; Recurrence; Reoperation; Risk Assessment; Severity of Illness Index; Surveys and Questionnaires; Treatment Outcome; Herniorrhaphy; Surgical Mesh
Elenco autori:
Ferrante, F.; Rusconi, A.; Galimberti, A.; Grassi, M.; Beluffi, L.; Salamina, G.; Casati, A.; Cassinelli, G. B.; Colpani, L.; Colledan, M.; Forloni, B.; Geroni, P.; Longoni, M.; Morelli, A.; Novelino, L.; Opocher, E.; Pecis, C.; Perrone, G.; Baroni, C.; Capretti, P. L.; Cazzaniga, R.; Giovannetti, M.; Puccio, F.; Marciano, P.; Sbarbada, V.; Scheda Ricciotti, G.; Tambussi, U.; Zola, C.; Formenti, A.; Rumi, A.; Savio, S.; Tommasini Degna, C.; Alquati, P.; Brown, P.; Gafa, M.; Martinotti, A.; Costa, M.; Confalonieri, G. M.; Crema, G.; Erba, R.; Frega, G.; Olivari, N.; Pricolo, R.; Benati, L.; Campo, S.; Mariani, G.; Bruni, T.; Fontanili, M.; Arisi, G. P.; Beltramo, M.; Bocca, M.; Bragherio, G.; Brambilla, A.; Cacioli, D.; Calzoni, D.; Magnoni, E.; Castoldi, M.; Ceriani, V.; Ballabio, R.; Confalonieri, F.; Contessini Avesani, E.; Campanelli, G.; Trivellini, G.; Corsi, C.; Croce, E.; Creperio, G.; Di Carlo, V.; Familiari, G.; Ferla, F.; Ferrari, G.; Forti, D.; Greco, D.; Fox, U.; Gherardi, G.; Lunghi, C.; Maggioni, P.; Mantovani, G.; Maruotti, R.; Mascia, G.; Mentasti, A.; Mezzeti, M.; Monestiroli, U.; Nespoli, A.; Potestio, M.; Rolandi, P.; Rosati, R.; Roviaro, G. C.; Sampietro, R.; Scorza, R.; Staudacher, C.; Stefanoni, G.; Taschieri, A.; Tenchini, P.; Trabattoni, P.; Trabucchi, E.; Uggeri, F.; Bottani, G.; Cebrelli, C.; Fossati, G.
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