Changes in the Frequencies of Abdominal Wall Hernias and the Preferences for Their Repair: A Multicenter National Study From Turkey

Şeker, Gaye; Kulaçoğlu, Hakan; Öztuna, Derya; Topgül, Koray; Akyol, Cihangir; Çakmak, Atıl; Karateke, Faruk; Özdoğan, Mehmet; Ersoy, Eren; Gürer, Ahmet; Zerbaliyev, Elbrus; Seker, Duray; Yorganci, Kaya; Pergel, Ahmet; Aydın, İbrahim; Ensari, Cemal Özben; Bilecik, Tuna; Kahraman, İzzettin; Reis, Erhan; Kalaycı, Murat; Canda, Aras Emre; Demi̇rağ, A; Kesicioğlu, Tuğrul; Malazgirt, Zafer; Gündoğdu, Haldun; Terzi, Cem

doi:10.9738/intsurg-d-14-00063.1

Cited by 17 publications

(15 citation statements)

References 28 publications

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“…9 Among hernias, inguinal hernia surgeries are the ones which were frequently performed in our study, a finding consistent with many other studies. [3][4][5]7,9,10 Though inguinal hernia surgeries were the commonest procedures, their rate has decreased by 15.4% from 2009 to 2018 in our study which is consistent with Serker et al and Dabbas et al findings, where they have observed a decrease in 7.9% over 5 years from 2005 to 2010 and 11.6% over 10 years from 1998 to 2008 respectively. 9,10 In the current era, the rate of incisional hernia surgeries is on a significant rise.…”

Section: Spectrum Of Surgeriessupporting

confidence: 92%

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Did general surgeons surgical spectrum changed over time? A retrospective comparative study in a South Indian tertiary care centre between 2009 and 2018

Gade

Meegada²,

Alavala

2020

Int Surg J

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Background: General surgery discipline has fragmented into several subspecialties over the past. This division has affected the surgical spectrum of general surgeons. Studies comparing the changes in the general surgeon's work spectrum were done in the ’90s but not in the recent past. Our study aims to compare the surgical spectrum of general surgeons between two time periods in our institute.Methods: We performed a retrospective study comparing the elective surgeries performed by general surgeons in the year 2009 and 2018 in an academic tertiary care centre.Results: There was a 28.9% rise in the total number of elective surgeries (1567 vs. 2020) in our study. There was a significant rise in the mean age of surgical patients (39.7 years vs. 41.9 years) but with no change in M: F ratio (1.7: 1). There was a significant rise in Hernia surgeries and Varicose veins surgeries (p<0.001) along with a rise in anal surgeries (p=0.018). There was a significant decrease in Breast surgeries (p=0.02) and Thyroid surgeries (p<0.001). There was a dramatic rise in the laparoscopic cholecystectomy rate (23.2% vs. 52%) and a fall in the laparoscopic appendectomy rate (26.3% vs. 8%). Open inguinal hernia surgeries were the most common surgeries performed in both the years.Conclusions: There was an increase in the surgical volume for general surgeons but the surgical spectrum has narrowed. We recommend conducting periodic surgical audits in institutions to monitor and maintain the standards of surgeries performed by general surgeons.

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Section: Spectrum Of Surgeriessupporting

confidence: 92%

“…Due to an increase in the number of laparotomies, the rate of incisional hernia surgeries has increased over time. 9,10 In our study, we included incisional hernias in ventral hernias which showed a significant increase.…”

Section: Spectrum Of Surgeriesmentioning

confidence: 99%

Did general surgeons surgical spectrum changed over time? A retrospective comparative study in a South Indian tertiary care centre between 2009 and 2018

Gade

Meegada²,

Alavala

2020

Int Surg J

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“…The number of papers on inguinal hernias were more than three times of those about incisional hernias. This is somewhat expected given the fact that inguinal hernia repairs comprise the majority of operations for abdominal wall hernias (21,22). However, incisional hernia articles had a higher mean number of citations than papers on inguinal hernias.…”

Section: Discussionmentioning

confidence: 90%

Most cited 100 articles from Turkey on abdominal wall hernias: a bibliometric study

Kulaçoğlu¹,

Celasin

2020

Turk J Surg

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Objective: The aim of the present study was to search the most-cited articles from Turkey on abdominal wall hernias and analyze their characteristics with several parameters. Material and Methods: In March 2019, a search was conducted through all databases in the Web of Science (WoS) to determine the most-cited articles on abdominal wall hernias. Each article was evaluated in regard to host journal, year of publication, the complete list of authors, the type of article, main subject of the study, institution of the study group. Citation counts in Google Scholar (GSch) were also obtained. Results: Mean number of citations of the top 100 articles in herniology was 30.50. Articles were published in 38 journals; Hernia is the leading host. No correlation was observed between the journal impact factors and the number of the citations. Two thirds of the articles were clinical studies. Article types had no significant effect on the citation counts. Inguinal hernia was the most frequent topic by taking place in 58 papers. Articles related to incisional hernias had a higher mean number of citations in comparison with other topics. Ankara University School of Medicine had most cited articles, the highest number of total citations, and the highest citation per articles. Ankara Numune Training and Research Hospital and Istanbul University School of Medicine had the highest number of the articles in the list. Conclusion: Citation counts of hernia related articles from Turkey are relatively low. Hernia is the leading journal for Turkish studies. Inguinal hernia is the most frequent topic whereas papers about incisional hernias receive more citations than others.

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“…An abdominal wall hernia is defined as a defect in the continuity of fascial and/or muscle-aponeurotic structures, allowing the protrusion or exit of elements that normally do not pass through them; In order of frequency depending on their location are inguinal hernia (70-75%), femoral hernia (6-17%), umbilical hernia (3-8.5%), and other less common forms (1-2%). 1,2 The hernias of the inguinal region are classified by anatomy in femoral and inguinal, the latter being subdivided into direct and indirect hernias, according to their medial or lateral relationship to the lower epigastric vessels respectively. The indirect inguinal hernia protrudes through the internal inguinal ring along with the cremastomeric fascia and extends downwards over the spermatic cord, may be limited to the groin area or spread through the outer inguinal ring and descend to the level of the testicles.…”

Section: Introductionmentioning

confidence: 99%

Incidence and management of inguinodynia after inguinal plasty

et al. 2020

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Background: Hernia is defined as a defect of fascial and muscle-aponeurotic structures, allowing the protrusion of elements. The most frequent is inguinal region, prevailing in men 3:1 vs female. The most frequent complications are persistent chronic pain.Methods: A descriptive, prospective and cross-sectional study was performed in postoperative inguinal plasty patients, using a laparoscopic approach and open approach, the presence or absence of inguinodynia was studied using the visual analogue pain scale (VAS) and the Semmes-Weinstein monofilament, in addition to a systematic investigation in the following PubMed, Medline, Clinical Key and Index Medicus databases, with articles from July 2019 to April 2020.Results: Inguinodynia was present in laparoscopic surgery and open approach, 58 patients had inguinodynia at two weeks associated with the inflammatory response of the tissues and the presence of a foreign body (mesh), 77% of the patients with persistence of pain at 3 months reported mild pain (VAS 1-4), 21% moderate pain that did not limit their daily activities (VAS 5-8) and 2% of the patients reported severe pain which limited physical activity and effort (VAS 9-10).Conclusions: Inguinodynia has an impact on hospital costs and quality life, we consider it is essential to domain the anatomical variants of the region. We propose an extensive follow-up of this group of patients, to make a comparison of diagnostic methods, as well as conservative management vs. modern techniques for pain control.

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Changes in the Frequencies of Abdominal Wall Hernias and the Preferences for Their Repair: A Multicenter National Study From Turkey

Cited by 17 publications

References 28 publications

Did general surgeons surgical spectrum changed over time? A retrospective comparative study in a South Indian tertiary care centre between 2009 and 2018

Did general surgeons surgical spectrum changed over time? A retrospective comparative study in a South Indian tertiary care centre between 2009 and 2018

Most cited 100 articles from Turkey on abdominal wall hernias: a bibliometric study

Incidence and management of inguinodynia after inguinal plasty

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