Are current techniques of inguinal hernia repair optimal? A survey in the United Kingdom.
Data was collected on the techniques currently employed in adult inguinal hernia repair by means of a postal questionnaire to consultants in four Regional Health Authorities in England. Questionnaires were returned by 240 consultants (85%). This identified a considerable range in methods of repair, with a Moloney nylon darn being the sole method used by 35% of consultants, and the Shouldice technique, either alone or in combination with other methods, being used by 20%. Overall, 51% employ a subcuticular suture for skin closure, and traditional skin sutures are used by 31%. There was no association between consultant's date of qualification or subspecialty and type of repair. Consultants qualifying after 1969 are most likely to use a subcuticular suture. Some 14% of all consultants and 19% of those qualifying since 1969 employ a Shouldice procedure and a subcuticular suture.
Morgan
M
M
Department of Public Health Medicine, United Medical School, St Thomas' Campus, London.
Reynolds
A
A
Swan
A V
AV
Beech
R
R
Devlin
H B
HB
D000328:Adult; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education; D008875:Middle Aged; D011785:Quality Assurance, Health Care; D013536:Suture Techniques; D006113:United Kingdom