General Surgery Department, R. A. Calderón Guardia Hospital, San José, Costa Rica.
Integrated Group for Complex Hernia Treatment, Calderón Guardia Hospital, San José, Costa Rica.
BMC Surg. 2021 Mar 21;21(1):152. doi: 10.1186/s12893-021-01156-9.
Inguinal hernia surgery is a frequent procedure among general surgeons in Costa Rica, but the management and technique are not uniform. The International Guideline for Groin Hernia management was published in 2018 to standardize the inguinal hernia surgery, but the diffusion of the guidelines and its adherence have been extremely varied.
Collect and analyze the current reality regarding groin hernia management in Costa Rica. Secondly evaluate the diffusion and development comparing it to the guideline's recommendations.
Questionnaire of 42 single and multiple answer questions according to the topics of the International Guideline directed to general surgeons. Diffusion of the inquiry through surgical and hernia association chats and email. Timeframe June-December 2019.
64 surveys were collected, which is a representative number of the general surgeons national college. The most frequent procedure between these was the abdominal wall surgery. Every surgeon did more than 52 groin hernia surgeries in one year, most of them outpatients. The epidural anesthesia was used the most and Lichtenstein's technique was the most frequently used (64%). 68% of the surgeons know how to perform a minimally invasive inguinal hernia surgery but with variable volumes. 38% of participants considered themselves experts in groin hernia management and 52% did not know the 2018 International Guideline. The recommendations of such guideline are followed only partially.
The 2018 Hernia Surge International Guidelines have low diffusion among Costa Rican surgeons. The laparoscopic approach is widely accepted but there are no studies to assess the results and the quality. There should be protocols and studies adapted to Costa Rica's national situation.
腹股沟疝手术是哥斯达黎加普通外科医生经常进行的手术，但管理和技术并不统一。2018 年发布了《腹股沟疝管理国际指南》，以规范腹股沟疝手术，但指南的传播及其遵循情况差异极大。
收集和分析哥斯达黎加目前腹股沟疝管理的现状。其次，评估其与指南建议的扩散和发展情况。
根据国际指南的主题，向普通外科医生发放了 42 个单项和多项选择题的问卷。通过外科和疝协会的聊天和电子邮件传播调查。时间范围为 2019 年 6 月至 12 月。
共收集了 64 份调查问卷，这是全国外科医生学院的代表性数字。这些医生中最常见的手术是腹壁手术。每位外科医生每年都要进行 52 次以上的腹股沟疝手术，其中大多数是门诊病人。最常使用硬膜外麻醉，最常使用的技术是李金斯坦技术（64%）。68%的外科医生知道如何进行微创腹股沟疝手术，但手术量不同。38%的参与者认为自己是腹股沟疝管理方面的专家，52%的人不知道 2018 年的国际指南。该指南的建议只是部分遵循。
2018 年疝外科国际指南在哥斯达黎加外科医生中的传播度较低。腹腔镜方法被广泛接受，但没有研究评估结果和质量。应该制定适合哥斯达黎加国情的方案和研究。
