Closer to an ideal solution for inguinal hernia repair: comparison between general surgeons and hernia specialists.
BACKGROUND
It is accepted a priori that specialists of hernia surgery have better results than general surgeons who use the same or different techniques as part of their complete surgical repertoire.


METHODS
Results of general surgeons trained in the technique of hernia repair using a bilayer connected mesh device (BCMD) was compared to results of specialists and other general surgeons who used other techniques.


RESULTS
One report from hernia specialists and three additional reports from trained general surgeons showed similar results using a BCMD. These results were better than results of all other mesh repairs.


CONCLUSIONS
This study shows the value of surgeon-training as well as the value in the design of a particular mesh device for hernia repair. The three components of this device offer three separate, yet connected, barriers to the formation of a recurrent hernia.


CONCLUSIONS
General surgeons trained to use a bilayer mesh device repeatedly duplicated the results of specialists who used it.
Gilbert
A I
AI
Hernia Institute of Florida, University of Miami Miller Medical School, Miami, Fl, 33143, USA. Bigart32@aol.com
Graham
M F
MF
Young
J
J
Patel
B G
BG
Shaw
K
K
D013502:General Surgery; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008511:Medicine; D013038:Specialization; D013526:Surgical Mesh