Department of Surgery, Vivantes Hospital Auguste-Viktoria, Rubensstrasse 125, 12157, Berlin, Germany.
Hernia. 2012 Jun;16(3):269-76. doi: 10.1007/s10029-012-0908-3. Epub 2012 Mar 3.
Despite the high frequency of hernia surgery procedures and continuous improvements, thanks to new hernia meshes and fixation techniques, in Germany, for example, the recurrence rate and rate of chronic inguinal pain after inguinal surgery are more than 10% far too high. Introduction of a hernia register in Denmark led to a significant reduction in the recurrence rate.
The aim of a hernia registry as an application-oriented outcome research tool is to monitor and evaluate (concomitant research) how the knowledge gleaned from evidence-based science is implemented in the everyday clinical setting and, ultimately, investigate its effectiveness (outcome research).
The new Internet-based English- and German-language registry for the entire spectrum of inpatient and outpatient hernia surgery is designed to improve the quality of patient care and provide valid data on outcome research. Via the Internet, all relevant patient data (comorbidities, previous operations, staging, specific surgical technique, medical devices used, perioperative complications and follow-up data) can be entered into the registry database. The participating hospitals and surgeons can at any time view their own data by means of an evaluation statistics tool. The outcome research project Herniamed focuses on inguinal hernias, umbilical hernias, incisional hernias, epigastric hernias, parastomal hernias and hiatus hernias. The online-based outcome research registry meets the most stringent data protection criteria.
With the Internet-based English- and German-language hernia register, a new instrument is now available for outcome research in hernia surgery.
尽管疝手术的频率很高，并且由于新型疝补片和固定技术不断改进，例如在德国，腹股沟手术后的复发率和慢性腹股沟疼痛的发生率仍然超过 10%，这一比例高得令人无法接受。丹麦引入疝登记册后，复发率显著降低。
疝登记册作为一种面向应用的结果研究工具，旨在监测和评估（伴随研究）从基于证据的科学中获得的知识在日常临床环境中的实施情况，并最终调查其有效性（结果研究）。
新的基于互联网的英语和德语疝手术住院和门诊手术全谱登记册旨在提高患者护理质量，并提供有关结果研究的有效数据。通过互联网，可以将所有相关患者数据（合并症、先前手术、分期、特定手术技术、使用的医疗器械、围手术期并发症和随访数据）输入登记册数据库。参与医院和外科医生可以随时通过评估统计工具查看自己的数据。名为 Herniamed 的结果研究项目专注于腹股沟疝、脐疝、切口疝、上腹部疝、造口旁疝和食管裂孔疝。基于互联网的结果研究登记册符合最严格的数据保护标准。
现在，有了基于互联网的英语和德语疝登记册，疝外科的结果研究有了一种新的工具。
