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. 2012 Mar;203(3):313-7; discussion 317.
doi: 10.1016/j.amjsurg.2011.10.005. Epub 2012 Jan 4.

Trends in the utilization of inguinal hernia repair techniques: a population-based study

Benjamin Zendejas  1 , Tatiana Ramirez, Trahern Jones, Admire Kuchena, Jaime Martinez, Shahzad M Ali, Christine M Lohse, David R Farley
Affiliations

Trends in the utilization of inguinal hernia repair techniques: a population-based study

Benjamin Zendejas et al. Am J Surg. 2012 Mar.

Abstract

Background: The use of inguinal hernia repair techniques in the community setting is poorly understood.

Methods: A retrospective review of all inguinal hernia repairs performed on adult residents of Olmsted County, MN, from 1989 to 2008 was performed through the Rochester Epidemiology Project.

Results: A total of 4,433 inguinal hernia repairs among 3,489 individuals were reviewed. Non-mesh-based repairs predominated in the late 1980s (94% in 1989), declined throughout the 1990s (40% in 1996), and are rarely used nowadays (4% in 2008). Open mesh-based repairs comprised 21% in 1990, peaked in 2001 with 72%, and declined to 55% in 2008. The adoption of laparoscopic repairs began in 1992 (6%) and has increased steadily to 41% in 2008 (P < .001).

Conclusions: Although non-mesh-based repairs, once the predominant method, have been supplanted by open mesh-based techniques, nowadays the use of laparoscopic inguinal hernia repair techniques has increased substantially to nearly equal that of open mesh-based techniques.

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Figures

Figure 1
Figure 1
Trends in the utilization of inguinal hernia repair techniques.
Figure 2
Figure 2
Trends in the utilization of open mesh-based repairs. Other includes Kugel patch, Prolene Hernia System, Rives-Stoppa, and preperitoneal mesh repair.
See this image and copyright information in PMC

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