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Review
. 2023 Mar;94(3):230-236.
doi: 10.1007/s00104-023-01818-9. Epub 2023 Feb 14.

[Inguinal hernia operations-Always outpatient?]

[Article in German]
DACH-Konsensusgruppe ambulante Leistenhernienchirurgie; H Niebuhr  1 , F Köckerling, R Fortelny, H Hoffmann, J Conze, R G Holzheimer, A Koch, G Köhler, C Krones, J Kukleta, A Kuthe, B Lammers, R Lorenz, F Mayer, M Pöllath, W Reinpold, R Schwab, B Stechemesser, D Weyhe, M Wiese, K Zarras, H-J Meyer
Affiliations
Review

[Inguinal hernia operations-Always outpatient?]

[Article in German]
DACH-Konsensusgruppe ambulante Leistenhernienchirurgie et al. Chirurgie (Heidelb). 2023 Mar.

Abstract
in English, German

Inguinal hernia operations represent the most frequent operations overall with 300,000 interventions annually in Germany, Austria and Switzerland (DACH region). Despite the announced political willingness and the increasing pressure from the legislator to avoid costly inpatient treatment by carrying out as many outpatient operations as possible, outpatient treatment has so far played a subordinate role in the DACH region. The Boards of the specialist societies the German Hernia Society (DHG), the Surgical Working Group Hernia (CAH of the DHG), the Austrian Hernia Society (ÖHG) and the Swiss Working Group Hernia Surgery (SAHC) make inroads into this problem, describe the initial position and assess the current situation.

Leistenhernienoperationen stellen mit ca. 300.000 Eingriffen jährlich in Deutschland, Österreich und der Schweiz (DACH-Region) die häufigste Operation überhaupt dar. Trotz des bekundeten politischen Willens und des zunehmenden Drucks der Gesetzgeber zur Vermeidung kostenintensiver stationärer Behandlungen, so viele Operationen wie möglich ambulant durchzuführen, spielt in der DACH-Region die ambulante Versorgung bislang nur eine untergeordnete Rolle. Die Vorstände der Fachgesellschaften Deutsche Hernien Gesellschaft (DHG), Chirurgische Arbeitsgemeinschaft Hernien (CAH der DHG), Österreichische Hernien Gesellschaft (ÖHG) und Schweizerische Arbeitsgruppe für Hernienchirurgie (SAHC) setzen sich mit diesem Problem auseinander, schildern die Ausgangslage und bewerten die aktuelle Situation.

Keywords: DACH region; Outpatient surgery; Patient safety; Remuneration; Risk factors.

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References

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