Inguinal hernia surgery in Korea: nationwide data from 2007–2015

Abstract

Purpose The aim of this study is to analyze inguinal hernia in Korea based on the nationwide data. Methods Retrospective analysis of nationwide data obtained from the Health Insurance Review & Assessment Service database for surgical repair of inguinal hernia from January, 2007 to December, 2015 was performed. Results A total of 314,238 cases of inguinal hernia surgery were performed during 9 years. The mean number of inguinal hernia surgery per year was 34,604 (range, 30,065–36,928). The proportion of male patient was 87%. Patients between the age of 1 to 5 years (17.3%) and of 60 to 69 years (17.4%) constituted the 2 dominant groups for inguinal hernia repair. A slight increase in repair for recurrent inguinal hernia, 1.9% to 3.2%, was observed from 2007 to 2015. The rate of concurrent bowel resection decreased from 1.9% to 0.6%. The total cost of inguinal hernia surgery was increased up to 1.68 times from 2007 to 2015 ($856 to $1,439), although the number of hospital days was decreased from 4.7 to 3.7 days. The rate of laparoscopic surgery was increased to 29.5% in 2015. Conclusion A mean number of 34,604 cases of inguinal hernia surgery have been carried out annually in Korea. The age distribution for inguinal hernia repair demonstrates bimodal peak at early childhood and old age. The proportion of laparoscopic surgery of inguinal hernia has been increasing for the past 9 years. The length of hospital stay and the rate of combined bowel resection have decreased.

Open vs Laparoscopic Hernia Repair in the Brazilian Public Health System. An 11-Year Nationwide Population-Based Study

“…When compared to other reference countries, such as Denmark, which is the only country with compulsory hernia registration, and corrected by the population, we observe that for every 100 inguinal hernia repairs in that country, Brazil performs 39 (19) . However, when compared to South Korea, the Asian country performs a slightly larger number each year (100 vs 95.2) (17) . Open epigastric hernioplasties also show a tendency to decrease in the period, in contrast to open umbilical hernioplasties, which showed a progressive annual increase, more pronounced in the last year evaluated (18%).…”

“…One of the justifications for the cost disparity is the difference in transfer to hospitals according to the procedure performed (13) . According to the SUS (17,19) . Caucasian individuals and browns predominated in the study, making up around 65% of all reported hernias, but with a high percentage of underreporting.…”

Circumcision and its alternatives in Germany: an analysis of nationwide hospital routine data

“…However, the preputium-preserving operations also showed a declining trend in all age groups, except those in their first year of life. This could be linked to the general reduction in surgical diseases described before, for example in infantile hypertrophic pyloric stenosis [ 30 ] or inguinal hernia [ 31 ]. An alternative explanation might be a shift of these operations towards outpatient surgery: The vast majority of paediatric surgical departments offer circumcision as an outpatient procedure [ 32 ], but this is unlikely as these procedures have been conducted primarily on outpatients even back in the 1980s [ 33 ] as it was the case in the United States, too [ 34 ].…”

Asymptomatic patent processus vaginalis is a risk for developing external inguinal hernia in adults: A prospective cohort study

“…The lifetime incidence of inguinal hernias is reported to be 27% for men and 3% for women [ 1 ]. The predominant age of inguinal hernia is bimodal, it is most commonly seen in childhood and then again in middle-aged individuals, and clinical onset is rare in people in their 20s and 30s [ 2 ]. Meanwhile, patent processus vaginalis (PPV) is reported in about 20% of children [ 3 ].…”