Sanders D L, Kingsnorth A N, Windsor A C J
Department of Upper GI Surgery, North Devon District Hospital, Barnstaple, Devon, EX31 4JB, UK.
Department of Surgery, Derriford Hospital, Plymouth, PL6 8DH, UK.
Hernia. 2016 Oct;20(5):637-40. doi: 10.1007/s10029-016-1511-9. Epub 2016 Jun 21.
Specialization influences the way that we deliver surgical care and has a direct impact on surgeons, healthcare systems and patients. Abdominal wall hernia repairs are among the most commonly performed surgical procedures worldwide, and over 20 million prosthetic meshes are inserted annually. Worldwide outcomes from groin hernia repair, as reflected by 5-year recurrence rates, range from 1 to 4 %. However, the results for incisional hernia repair are at least ten times worse, with worldwide recurrence rates of about 25 % and upwards. This editorial aims to debate the argument for and against hernia subspecialists and provide a framework for implementing specialist hernia services.
专业化影响着我们提供外科护理的方式，并且对外科医生、医疗系统和患者都有直接影响。腹壁疝修补术是全球最常见的外科手术之一，每年有超过2000万个假体补片被植入。腹股沟疝修补术的全球疗效，以5年复发率衡量，在1%至4%之间。然而，切口疝修补术的结果至少要差十倍，全球复发率约为25%及以上。这篇社论旨在探讨支持和反对疝专科医生的观点，并提供一个实施疝专科服务的框架。
