The inguinal hernia management in Costa Rica according to a survey between surgeons: result comparison with 2018 International Groin Hernia Guidelines
Abstract Background Inguinal hernia surgery is a frequent procedure among general surgeons in Costa Rica, but the management and technique are not uniform. The International Guideline for Groin Hernia management was published in 2018 to standardize the inguinal hernia surgery, but the diffusion of t...
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doaj-77987eee95074c63abaf86ab6568c7fc2021-03-21T12:23:14ZengBMCBMC Surgery1471-24822021-03-012111910.1186/s12893-021-01156-9The inguinal hernia management in Costa Rica according to a survey between surgeons: result comparison with 2018 International Groin Hernia GuidelinesJesús Martínez-Hoed0Katherine Cordero-Bermúdez1Providencia García-Pastor2Salvador Pous-Serrano3José A. Ortiz-Cubero4General Surgery Department, R. A. Calderón Guardia HospitalGeneral Surgery Department, R. A. Calderón Guardia HospitalGeneral Surgery At Hospital Politécnico y Universitario La FeGeneral Surgery At Hospital Politécnico y Universitario La FeGeneral Surgery Department, R. A. Calderón Guardia HospitalAbstract Background Inguinal hernia surgery is a frequent procedure among general surgeons in Costa Rica, but the management and technique are not uniform. The International Guideline for Groin Hernia management was published in 2018 to standardize the inguinal hernia surgery, but the diffusion of the guidelines and its adherence have been extremely varied. Purpose Collect and analyze the current reality regarding groin hernia management in Costa Rica. Secondly evaluate the diffusion and development comparing it to the guideline’s recommendations. Method Questionnaire of 42 single and multiple answer questions according to the topics of the International Guideline directed to general surgeons. Diffusion of the inquiry through surgical and hernia association chats and email. Timeframe June–December 2019. Results 64 surveys were collected, which is a representative number of the general surgeons national college. The most frequent procedure between these was the abdominal wall surgery. Every surgeon did more than 52 groin hernia surgeries in one year, most of them outpatients. The epidural anesthesia was used the most and Lichtenstein’s technique was the most frequently used (64%). 68% of the surgeons know how to perform a minimally invasive inguinal hernia surgery but with variable volumes. 38% of participants considered themselves experts in groin hernia management and 52% did not know the 2018 International Guideline. The recommendations of such guideline are followed only partially. Conclusions The 2018 Hernia Surge International Guidelines have low diffusion among Costa Rican surgeons. The laparoscopic approach is widely accepted but there are no studies to assess the results and the quality. There should be protocols and studies adapted to Costa Rica’s national situation.https://doi.org/10.1186/s12893-021-01156-9Groin herniaInguinal herniaInguinal hernioplastySurveyClinical guideline |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jesús Martínez-Hoed Katherine Cordero-Bermúdez Providencia García-Pastor Salvador Pous-Serrano José A. Ortiz-Cubero |
spellingShingle |
Jesús Martínez-Hoed Katherine Cordero-Bermúdez Providencia García-Pastor Salvador Pous-Serrano José A. Ortiz-Cubero The inguinal hernia management in Costa Rica according to a survey between surgeons: result comparison with 2018 International Groin Hernia Guidelines BMC Surgery Groin hernia Inguinal hernia Inguinal hernioplasty Survey Clinical guideline |
author_facet |
Jesús Martínez-Hoed Katherine Cordero-Bermúdez Providencia García-Pastor Salvador Pous-Serrano José A. Ortiz-Cubero |
author_sort |
Jesús Martínez-Hoed |
title |
The inguinal hernia management in Costa Rica according to a survey between surgeons: result comparison with 2018 International Groin Hernia Guidelines |
title_short |
The inguinal hernia management in Costa Rica according to a survey between surgeons: result comparison with 2018 International Groin Hernia Guidelines |
title_full |
The inguinal hernia management in Costa Rica according to a survey between surgeons: result comparison with 2018 International Groin Hernia Guidelines |
title_fullStr |
The inguinal hernia management in Costa Rica according to a survey between surgeons: result comparison with 2018 International Groin Hernia Guidelines |
title_full_unstemmed |
The inguinal hernia management in Costa Rica according to a survey between surgeons: result comparison with 2018 International Groin Hernia Guidelines |
title_sort |
inguinal hernia management in costa rica according to a survey between surgeons: result comparison with 2018 international groin hernia guidelines |
publisher |
BMC |
series |
BMC Surgery |
issn |
1471-2482 |
publishDate |
2021-03-01 |
description |
Abstract Background Inguinal hernia surgery is a frequent procedure among general surgeons in Costa Rica, but the management and technique are not uniform. The International Guideline for Groin Hernia management was published in 2018 to standardize the inguinal hernia surgery, but the diffusion of the guidelines and its adherence have been extremely varied. Purpose Collect and analyze the current reality regarding groin hernia management in Costa Rica. Secondly evaluate the diffusion and development comparing it to the guideline’s recommendations. Method Questionnaire of 42 single and multiple answer questions according to the topics of the International Guideline directed to general surgeons. Diffusion of the inquiry through surgical and hernia association chats and email. Timeframe June–December 2019. Results 64 surveys were collected, which is a representative number of the general surgeons national college. The most frequent procedure between these was the abdominal wall surgery. Every surgeon did more than 52 groin hernia surgeries in one year, most of them outpatients. The epidural anesthesia was used the most and Lichtenstein’s technique was the most frequently used (64%). 68% of the surgeons know how to perform a minimally invasive inguinal hernia surgery but with variable volumes. 38% of participants considered themselves experts in groin hernia management and 52% did not know the 2018 International Guideline. The recommendations of such guideline are followed only partially. Conclusions The 2018 Hernia Surge International Guidelines have low diffusion among Costa Rican surgeons. The laparoscopic approach is widely accepted but there are no studies to assess the results and the quality. There should be protocols and studies adapted to Costa Rica’s national situation. |
topic |
Groin hernia Inguinal hernia Inguinal hernioplasty Survey Clinical guideline |
url |
https://doi.org/10.1186/s12893-021-01156-9 |
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