Factors Influencing Choice of Inguinal Hernia Repair Technique

Abstract

Background: Inguinal hernia repair surgery is one of the most frequently performed surgical procedures worldwide. This study sought to highlight factors that may influence decisions concerning inguinal hernia repair techniques.

Methods: This descriptive crosssectional study was carried out in September 2014 among surgical trainees and surgeons.

Data collected included: qualification of the operating doctor, level at which practical training on inguinal hernia repair occurred, awareness of the various inguinal hernia repair methods, inguinal hernia repair method(s) used for the past three (most recent) inguinal hernia operations and reasons for using that /those repair method(s).

Results: Fifteen surgeons and sixty surgical trainees were recruited. Awareness levels and practical training were highest in the modified Bassini and Lichtenstein repair techniques. Experienced peers play a major role in training on the various repair techniques. The modified Bassini technique is preferred in emergency inguinal hernia repair; conversely, open mesh repair (Lichtenstein and PHS/plug) is preferred in elective cases. Reasons influencing choice of repair technique include training on the technique among others.

Conclusion: Multiple factors affect the choice of inguinal hernia repair technique some of which are based on evidence while others are attributed to availability of resources and training (or lack thereof).

Key words: Inguinal Hernia, Surgical Technique, Choice of Technique