HEDEF ÖZGÜN, SERHAT REMZİ YARDIM, LEVENT ÇANAKKALELİOĞLU, ŞÜKRÜ BOYLU

Adnan Menderes Üniversitesi Tıp Fakültesi Genel Cerrahi ABD, AYDIN

Abstract

We planned a study to investigate to what extent surgeons perform the popular techniques of groin hernia in the City of Aydın and the necessity of postgraduate courses. The serious developments like Lichtenstein repair or laparoscopic access to inguinal area has changed inguinal hernia surgery dramatically in the past ten years. In Aydın, the surgeons of University Hospital, Sosyal Sigortalar Kurumu Hospital, and State Hospital were given a questionnaire form asking about their choice of repair methods and the use of prophylactic antibiotics, mesh and suture materials. They were asked whether they would like to attend a panel about groin hernia surgery or not. Surgeons were grouped according to their experience. Obtaining their consent, their patients' operation records between October 1, 1997 and January 1, 2000 were reviewed. The ratio of mesh use was 39.9% and local anesthesia use was 4.8%. When compared with the recent literature, these values were significantly low. Laparoscopic hernioraphy method was used only in the University Hospital. We concluded that by organizing postgraduate courses, surgeons should be informed and trained for new techniques.

Keywords: INGUINAL HERNIA, GROIN HERNIA, LOCAL ANESTHESIA, LAPAROSCOPY, POLYPROPYLENE MESH