Abstract
BackgroundInguinal 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.PurposeCollect 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.MethodQuestionnaire 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.Results64 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.ConclusionsThe 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.
Highlights
Inguinal hernia surgery is a frequent procedure among general surgeons in Costa Rica, but the man‐ agement and technique are not uniform
64 surveys were collected, which is a representative number of the general surgeons national college
Every surgeon did more than 52 groin hernia surgeries in one year, most of them outpatients
Summary
Inguinal hernia surgery is a frequent procedure among general surgeons in Costa Rica, but the man‐ agement 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. More than 20 million inguinal hernias are operated each year, [1] in Costa Rica (CR) this surgery is a quite frequent procedure for the general surgeon. There is not a perfect surgical approach for all the inguinal hernias, the laparoscopic approach has not been standardized and the general management of IH is not uniform among surgeons even in the same country [5]
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