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意大利 2015 年至 2020 年开放式腹股沟疝修补术的全国性分析。

Nationwide analysis of open groin hernia repairs in Italy from 2015 to 2020.

机构信息

Department of General Surgery, Università Politecnica delle Marche, Piazza Roma 22, 60121, Ancona, Italy.

ASST Spedali Civili Di Brescia PO Montichiari, Via Boccalera 325018, Montichiari, Brescia, Italy.

出版信息

Hernia. 2023 Dec;27(6):1429-1437. doi: 10.1007/s10029-023-02902-z. Epub 2023 Oct 17.

DOI:10.1007/s10029-023-02902-z
PMID:37847334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10700422/
Abstract

INTRODUCTION

Inguinal hernia repair is one of the most commonly performed operations in general surgery. A total of 130.000 inguinal hernia repairs are performed yearly in Italy, and approximately 20 million inguinal hernias are treated worldwide annually. This report represents the trend analysis in inguinal hernia repair in Italy from a nationwide dataset for the 6-year period from 2015 to 2020.

MATERIALS AND METHODS

Based on regional hospital discharge records, all the inguinal hernia repairs performed in public and private hospitals in Italy between 2015 and 2020 were reviewed based on diagnosis and procedure codes. For the aim of this study, data from the AgeNas (The National Agency for Regional Health Services) data source were analyzed.

RESULTS

Elective inguinal hernia repairs outnumbered urgent operations over the 6-year study period, ranging from 122,737 operations in 2015 to 65,780 in 2020 as absolute numbers, and from 87.96 to 83.3% of total procedures in 2019 and 2020 respectively, with an annual change ranging from - 66.58%, between 2020 and 2019, to - 2.49%, between 2019 and 2018 (mean = - 18.74%; CI =- 46.7%-9.22%; p < 0.0001).

CONCLUSIONS

This large-scale review of groin hernia data from a nationwide Italian dataset provides a unique opportunity to obtain a snapshot of open groin hernia repair activity. More specifically, there is a trend to perform more elective than urgent procedures and there is a steady decrease in the amount of open hernia repairs in favor to laparoscopy.

摘要

引言

腹股沟疝修补术是普通外科最常进行的手术之一。意大利每年进行的腹股沟疝修补术共有 13 万例，全球每年约有 2000 万例腹股沟疝需要治疗。本报告代表了 2015 年至 2020 年 6 年间意大利全国范围内腹股沟疝修补术的趋势分析。

材料和方法

基于区域医院出院记录，对意大利公立和私立医院 2015 年至 2020 年间进行的所有腹股沟疝修补术，根据诊断和手术代码进行了回顾。为了进行本研究，分析了来自 AgeNas（国家区域卫生服务局）数据源的数据。

结果

在 6 年的研究期间，择期腹股沟疝修补术的数量超过了紧急手术，绝对值从 2015 年的 122737 例增加到 2020 年的 65780 例，2019 年和 2020 年分别占总手术的 87.96%和 83.3%，年变化率从 2020 年至 2019 年的-66.58%到 2019 年至 2018 年的-2.49%不等（平均值为-18.74%；CI=-46.7%至 9.22%；p<0.0001）。

结论

这项对来自意大利全国数据集的腹股沟疝数据的大规模回顾提供了一个独特的机会，可以了解开放腹股沟疝修复活动的现状。更具体地说，择期手术的比例呈上升趋势，而开放性疝修复的数量则呈下降趋势，腹腔镜手术的比例不断上升。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13c2/10700422/879fc626f75f/10029_2023_2902_Fig7_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13c2/10700422/4d750ff2901a/10029_2023_2902_Fig5_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13c2/10700422/879fc626f75f/10029_2023_2902_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13c2/10700422/8acfbc0e7093/10029_2023_2902_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13c2/10700422/879fc626f75f/10029_2023_2902_Fig7_HTML.jpg

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