Is there a role for hernia subspecialists? Or is this a step too far?

被引:11
|
作者
Sanders, D. L. [1 ]
Kingsnorth, A. N. [2 ]
Windsor, A. C. J. [3 ]
机构
[1] North Devon Dist Hosp, Dept Upper GI Surg, Barnstaple EX31 4JB, Devon, England
[2] Derriford Hosp, Dept Surg, Plymouth PL6 8DH, Devon, England
[3] Univ Coll London Hosp, London NW1 2BU, England
关键词
Hernia; Specialization; Incisional; Inguinal; VOLUME; MORTALITY; REPAIR;
D O I
10.1007/s10029-016-1511-9
中图分类号
R61 [外科手术学];
学科分类号
摘要
Specialization influences the way that we deliver surgical care and has a direct impact on surgeons, healthcare systems and patients. Abdominal wall hernia repairs are among the most commonly performed surgical procedures worldwide, and over 20 million prosthetic meshes are inserted annually. Worldwide outcomes from groin hernia repair, as reflected by 5-year recurrence rates, range from 1 to 4 %. However, the results for incisional hernia repair are at least ten times worse, with worldwide recurrence rates of about 25 % and upwards. This editorial aims to debate the argument for and against hernia subspecialists and provide a framework for implementing specialist hernia services.
引用
收藏
页码:637 / 640
页数:4
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