TY - JOUR
T1 - Consensus on international guidelines for management of groin hernias
AU - The HerniaSurge Group
AU - van Veenendaal, Nadine
AU - Simons, Maarten
AU - Hope, William
AU - Tumtavitikul, Sathien
AU - Bonjer, Jaap
AU - Aufenacker, Theo
AU - Berrevoet, Fredrik
AU - Bingener, Julia
AU - Bisgaard, Thue
AU - Bittner, Reinhard
AU - Bury, Kamil
AU - Campanelli, Giampiero
AU - Chen, David
AU - Chowbey, Pradeep
AU - Conze, Joachim
AU - Cuccurullo, Diego
AU - De Beaux, Andrew
AU - Eker, Hasan
AU - Fitzgibbons, Robert
AU - Fortelny, Rene
AU - Gillion, Jean Francois
AU - Van den Heuvel, Baukje
AU - Jorgensen, Lars
AU - Klinge, Uwe
AU - Köckerling, Ferdinand
AU - Kukleta, Jan
AU - Konate, Ibrahima
AU - Liem, Liong
AU - Lomanto, Davide
AU - Loos, Maarten
AU - Lopez-Cano, Manuel
AU - Miserez, Marc
AU - Misra, Mahesh
AU - Montgomery, Agneta
AU - Morales-Conde, Salvador
AU - Muysoms, Filip
AU - Niebuhr, Henning
AU - Nordin, Par
AU - Pawlak, Maciej
AU - Van Ramshorst, Gabrielle
AU - Reinpold, Wolfgang
AU - Sanders, David
AU - Sani, Rachid
AU - Schouten, Nelleke
AU - Smedberg, Sam
AU - Smietanski, Maciej
AU - Simmermacher, Rogier
AU - Tran, Hanh
AU - Wijsmuller, Arthur
N1 - Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85083381295&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85083381295&partnerID=8YFLogxK
U2 - 10.1007/s00464-020-07516-5
DO - 10.1007/s00464-020-07516-5
M3 - Article
C2 - 32253559
AN - SCOPUS:85083381295
VL - 34
SP - 2359
EP - 2377
JO - Surgical Endoscopy
JF - Surgical Endoscopy
SN - 0930-2794
IS - 6
ER -