Nationwide analysis of laparoscopic groin hernia repair in Italy from 2015 to 2020.
Groin hernia
Laparoscopy
Nationwide analysis
TAPP
TEP
Journal
Updates in surgery
ISSN: 2038-3312
Titre abrégé: Updates Surg
Pays: Italy
ID NLM: 101539818
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
received:
19
07
2022
accepted:
29
08
2022
pubmed:
8
9
2022
medline:
14
1
2023
entrez:
7
9
2022
Statut:
ppublish
Résumé
Since its introduction, the minimally invasive treatment of groin hernias has become widely accepted as a viable alternative to open surgery. Still, the rates and reasons for its adoption vary highly among countries and the regions within a country. After almost thirty years since its introduction, its spread is still limited. The present study, conducted under the auspices of AGENAS (Italian National Agency for Regional Services), aims at giving a snapshot of the spreading of minimally invasive and robotic techniques for the treatment of groin hernia in Italy. This study is retrospective, with data covering the period from 1st January 2015 to 31st December 2020. AGENAS provided data using the operation and diagnosis codes used at discharge and reported in the International Classification of Diseases 9th revision (ICD9 2002 version). Admissions performed on an outpatient basis, i.e., without an overnight stay of at least one night in hospital, were excluded. A total of 33,925 laparoscopic hernia repairs were performed during the considered period. Overall, a slight increase in the number of procedures performed was observed from 2015 to 2019, with a mean annual change of 8.60% (CI: 6.46-10.74; p < 0.0001). The number of laparoscopic procedures dropped in 2020, and when considering the whole period, the mean annual change was - 0.98% (CI: - 7.41-5.45; p < 0.0001). Urgent procedures ranged from 335 in 2015 to 508 in 2020 referring to absolute frequencies, and from 0.87% to 9.8% in relative frequencies of overall procedures in 2017 and 2020, respectively (mean = 4.51%; CI = 3.02%-6%; p < 0.001). The most relevant observation that could be made according to our analysis was that the adoption of the laparoscopic approach knew a slow but steady increase from 2015 onward.
Identifiants
pubmed: 36070056
doi: 10.1007/s13304-022-01374-7
pii: 10.1007/s13304-022-01374-7
pmc: PMC9450816
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
77-84Informations de copyright
© 2022. The Author(s).
Références
International guidelines for groin hernia management (2018) HerniaSurge Group. Hernia 22(1):1–165. https://doi.org/10.1007/s10029-017-1668-x
doi: 10.1007/s10029-017-1668-x
Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J, Fortelny R, Heikkinen T, Jorgensen LN, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Simons MP (2014) Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 18(2):151–163. https://doi.org/10.1007/s10029-014-1236-6
doi: 10.1007/s10029-014-1236-6
Sartori A, De Luca M, Noaro G, Piatto G, Pignata G, Di Leo A, Lauro E, Andreuccetti JJ (2021) Rare Intraoperative and Postoperative Complications After Transabdominal Laparoscopic Hernia Repair: Results from the Multicenter Wall Hernia Group Registry. Laparoendosc Adv Surg Tech A 31(3):290–295. https://doi.org/10.1089/lap.2020.0459
doi: 10.1089/lap.2020.0459
Kingsnoth A, LeBlanc K (2003) Hernias: Inguinal and Incisional. Lancet 362:1561–1571
doi: 10.1016/S0140-6736(03)14746-0
Pisanu A, Podda M, Saba A, Porceddu G, Uccheddu A (2015) Meta-analysis and review of prospective randomized trials comparing laparoscopic and Lichtenstein techniques in recurrent inguinal hernia repair. Hernia 19(3):355–366. https://doi.org/10.1007/s10029-014-1281-1
doi: 10.1007/s10029-014-1281-1
Deyo RA, Cherkin DC, Ciol MA (1992) Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol 45:613–619
doi: 10.1016/0895-4356(92)90133-8
Tran H, Tran K, Turingan I, Zajkowska M, Lam V, Hawthorne W (2015) Single-incision laparoscopic inguinal herniorraphy with telescopic extraperitoneal dissection: technical aspects and potential benefits. Hernia 19:407–416. https://doi.org/10.1007/s10029-015-1349-6
doi: 10.1007/s10029-015-1349-6
Tschuor C, Metzger J, Clavien PA, Vonlanthen R, Lehmann K (2015) Inguinal hernia repair in Switzerland. Hernia 19(5):741–745. https://doi.org/10.1007/s10029-015-1385-2
doi: 10.1007/s10029-015-1385-2
Arezzo A, Francis N, Mintz Y, Adamina M, Antoniou SA, Bouvy N, Copaescu C, de Manzini N, Di Lorenzo N, Morales-Conde S, Müller-Stich BP, Nickel F, Popa D, Tait D, Thomas C, Nimmo S, Paraskevis D, Pietrabissa A, EAES Group of Experts for Recovery Amid COVID-19 Pandemic (2021) EAES Recommendations for Recovery Plan in Minimally Invasive Surgery Amid COVID-19 Pandemic. Surg Endosc 35(1):1–17
doi: 10.1007/s00464-020-08131-0
Botteri E, Podda M, Sartori A (2020) The COVID-19 pandemic should not take us back to the prelaparoscopic era. J Trauma Acute Care Surg 89(2):273–274
doi: 10.1097/TA.0000000000002783
Ayuso SA, Marturano MN, Katzen MM, Aladegbami BG, Augenstein VA (2022) Laparoscopic versus robotic inguinal hernia repair: a single-center case-matched study. Surg Endosc. https://doi.org/10.1007/s00464-022-09368-7
doi: 10.1007/s00464-022-09368-7
Merola G, Cavallaro G, Iorio O, Frascio M, Pontecorvi E, Corcione F, Andreuccetti J, Pignata G, Stabilini C (2020) Bracale U Learning curve in open inguinal hernia repair: a quality improvement multicentre study about Lichtenstein technique. Hernia 24(3):651–659. https://doi.org/10.1007/s10029-019-02064-x
doi: 10.1007/s10029-019-02064-x
Bracale U, Merola G, Sciuto A, Cavallaro G, Andreuccetti J, Pignata GJ (2019) Achieving the learning curve in laparoscopic inguinal hernia repair by tapp: a Quality Improvement Study. Invest Surg 32(8):738–745
doi: 10.1080/08941939.2018.1468944
Köckerling F, Lorenz R, Reinpold W, Zarras K, Conze J, Kuthe A, Lammers B, Stechemesser B, Mayer F, Fortelny R, Hoffmann H, Kukleta J, Weyhe D (2021) What is the reality in outpatient vs inpatient groin hernia repair? An analysis from the Herniamed Registry. Hernia. https://doi.org/10.1007/s10029-021-02494-6
doi: 10.1007/s10029-021-02494-6
Gass M, Banz VM, Rosella L, Adamina M, Candinas D (2012) Gu¨ller U (2012) TAPP or TEP? Population-based analysis of prospective data on 4,552 patients undergoing endoscopic inguinal hernia repair. World J Surg 36:2782–2786
doi: 10.1007/s00268-012-1760-4
Mongelli F, Vajana AFT, FitzGerald M, Cafarotti S, Lucchelli M, Proietti F, Di Giuseppe M, La Regina DJ (2019) Open and Laparoscopic Inguinal Hernia Surgery: A Cost Analysis. Laparoendosc Adv Surg Tech A 29(5):608–613. https://doi.org/10.1089/lap.2018.0805
doi: 10.1089/lap.2018.0805
Aydin M, Fikatas P, Denecke C, Pratschke J, Raakow J (2021) Cost analysis of inguinal hernia repair: the influence of clinical and hernia-specific factors. Hernia 25(5):1129–1135
doi: 10.1007/s10029-021-02372-1
Botteri E, Podda M, Arezzo A, Vettoretto N, Sartori A, Agrusa A, Allaix ME, Anania G, Brachet Contul R, Caracino V, Cassinotti E, Cuccurullo D, D’Ambrosio G, Milone M, Muttillo I, Petz WL, Pisano M, Guerrieri M, Silecchia G (2021) Agresta FCurrent status on the adoption of high energy devices in Italy: An Italian Society for Endoscopic Surgery and New Technologies (SICE) national survey. Surg Endosc 35(11):6201–6211. https://doi.org/10.1007/s00464-020-08117-y
doi: 10.1007/s00464-020-08117-y
Shimpei O, Yuji K, Atsuyuki M, Yuichi T, Yasuyuki F, Shunsuke O (2017) Ultrasonic energy device versus monopolar energy device in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. Updates Surg 69(1):55–60. https://doi.org/10.1007/s13304-016-0412-x
doi: 10.1007/s13304-016-0412-x
Pizza F, D’Antonio D, Lucido FS, Del Rio P, Dell’Isola C, Brusciano L, Tolone S, Docimo L, Gambardella C (2022) Is absorbable mesh useful in preventing parastomal hernia after emergency surgery? The Parthenope study. Hernia 26(2):507–516
doi: 10.1007/s10029-022-02579-w
Pizza F, D’Antonio D, Ronchi A, Lucido FS, Brusciano L, Marvaso A, Dell’Isola C, Gambardella C (2021) Prophylactic sublay non-absorbable mesh positioning following midline laparotomy in a clean-contaminated field: randomized clinical trial (PROMETHEUS). Br J Surg 108(6):638–643
doi: 10.1093/bjs/znab068