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Editorial
. 2020 Jun;34(6):2359-2377.
doi: 10.1007/s00464-020-07516-5. Epub 2020 Apr 6.

Consensus on international guidelines for management of groin hernias

Nadine van Veenendaal  1 , Maarten Simons  2 , William Hope  3 , Sathien Tumtavitikul  4 , Jaap Bonjer  1 ; HerniaSurge Group
Collaborators, Affiliations
Editorial

Consensus on international guidelines for management of groin hernias

Nadine van Veenendaal et al. Surg Endosc. 2020 Jun.

Erratum in

Abstract

Background: Groin hernia management has a significant worldwide diversity with multiple surgical techniques and variable outcomes. The International guidelines for groin hernia management serve to help in groin hernia management, but the acceptance among general surgeons remains unknown. The aim of our study was to gauge the degree of agreement with the guidelines among health care professionals worldwide.

Methods: Forty-six key statements and recommendations of the International guidelines for groin hernia management were selected and presented at plenary consensus conferences at four international congresses in Europe, the America's and Asia. Participants could cast their votes through live voting. Additionally, a web survey was sent out to all society members allowing online voting after each congress. Consensus was defined as > 70% agreement among all participants.

Results: In total 822 surgeons cast their vote on the key statements and recommendations during the four plenary consensus meetings or via the web survey. Consensus was reached on 34 out of 39 (87%) recommendations, and on six out of seven (86%) statements. No consensus was reached on the use of light versus heavy-weight meshes (69%), superior cost-effectiveness of day-case laparo-endoscopic repair (69%), omitting prophylactic antibiotics in hernia repair, general or local versus regional anesthesia in elderly patients (55%) and re-operation in case of immediate postoperative pain (59%).

Conclusion: Globally, there is 87% consensus regarding the diagnosis and management of groin hernias. This provides a solid basis for standardizing the care path of patients with groin hernias.

Keywords: Consensus conferences; Inguinal hernias; International guidelines.

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References

    1. Beard JH, Ohene-Yeboah M, Devries CR, Schecter WP (2015) Hernia and hydrocele. In: Debas HT, Donkor P, Gawande A, Jamison DT, Kruk ME, Mock CN. Essential Surgery: Disease Control Priorities, 3rd edn, vol 1. Washington (DC): The International Bank for Reconstruction and Development/The World Bank; 2015 Apr. Chapter 9.
    1. Meara JG, Leather AJ, Hagander L, Alkire BC, Alonso N, Ameh EA, Bickler SW, Conteh L, Dare AJ, Davies J, Mérisier ED, El-Halabi S, Farmer PE, Gawande A, Gillies R, Greenberg SL, Grimes CE, Gruen RL, Ismail EA, Kamara TB, Lavy C, Lundeg G, Mkandawire NC, Raykar NP, Riesel JN, Rodas E, Rose J, Roy N, Shrime MG, Sullivan R, Verguet S, Watters D, Weiser TG, Wilson IH, Yamey G, Yip W (2015) Global surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet 386(9993):569–624 - PubMed
    1. Price R, Makasa E, Hollands M (2015) World Health Assembly Resolution WHA68.15: "strengthening emergency and essential surgical care and anesthesia as a component of universal health coverage"—addressing the public health gaps arising from lack of safe, affordable and accessible surgical and anesthetic services. World J Surg 39(9):2115–2125 - PubMed
    1. Meara JG, Hagander L, Leather AJ (2014) Surgery and global health: a Lancet commission. Lancet 383(9911):12–13 - PubMed
    1. Botman M, Meester RJ, Voorhoeve R, Mothes H, Henry JA, Cotton MH, Lane RH, Jani PG, Heij HA, Ismail EA (2015) The Amsterdam declaration on essential surgical care. World J Surg 39(6):1335–1340 - PubMed

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