Abstract
Abstract Background This study analyzes hernia surgeries in Latvia across years and healthcare facilities, aiming to discern trends and methodologies amid budgetary constraints and healthcare disparities. Method Analyzing hernia surgeries from 2016 to 2022, this study evaluated total repairs, elective surgeries, laparoscopic techniques, and specific methodologies at Riga East University Hospital and Latvian healthcare institutions. Results Hernia repairs fluctuated annually: 4516 (2016), 4285 (2017), 4315 (2018), 4639 (2019), 4169 (2020), 4527 (2021), reaching 5488 in 2022. In 2022, laparoscopic incisional hernia surgeries accounted for 19% (67 cases) of 226 total incisional hernia surgeries. Elective hernia surgeries ranged from 86.4% to 93.3% from 2017 to 2019, slightly declining in subsequent years (probably effect of COVID-19). Laparoscopic abdominal wall hernia surgeries varied from 15.3% to 20.2%. There was a notable surge in laparoscopic groin surgeries, and a shift towards TAPP (437 cases) over TEP (65 cases) in 2022. Emerging minimally invasive procedures – E-TEP (130), SCOLA (60), TARM (20) became apparent since 2019. At Riga East University Hospital, hernia surgeries significantly increased from 527 (2020) to 633 (2022). Laparoscopic techniques in groin hernias rose from 16% (2019) to 26% (2022), while laparoscopic incisional hernia surgeries declined from 11% (2019) to 8% (2022). Conclusion This study sheds light on the dynamic landscape of hernia surgeries in Latvia, highlighting trends in procedures, preferences, and adoption of innovative techniques. Understanding these trends is crucial for healthcare professionals to enhance hernia care strategies and adapt to the constraints and disparities within Latvia's healthcare system.
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