, Volume 8, Issue 3, pp 247–251 | Cite as

Hernia repair in the Lombardy region in 2000: Preliminary results

  • F. FerranteEmail author
  • A. Rusconi
  • A. Galimberti
  • M. Grassi
  • Lombardia Hernia Study Group
Original Article


Hernia repair is the most common surgical procedure in general surgery in Italy and in the Lombardy region. In the last decade, the use of mesh, the concept of a tension-free technique, and the postoperative rate of recurrences after Bassini or Shouldice operations have completely changed the surgical approach to hernia repair. For this reason, we sent a questionnaire to 148 surgical departments in the Lombardy region to investigate about total hernia operations performed in 2000 in Lombardy, the surgical approach, the surgical techniques used, the type of anesthesia and the hospital stay. One hundred five out of 148 surgical departments returned the questionnaire, and we collected information on a total of 16,935 surgical operations for hernia: 16,494 were performed using tension-free techniques. The inguinal anterior approach is the one of choice for primary and recurrent inguinal hernia, whereas the open preperitoneal and laparoscopic approaches are limited to bilateral and recurrent hernias. The majority of cases were treated under locoregional anesthesia and with a hospital stay of two nights.


Hernia Surgical repair Mesh Hospital stay 


  1. 1.
    Corcione F, Cristinzio G, Maresca M, Cascone U, Titolo G, Califano G (1997) Primary inguinal hernia: the held-in mesh repair. Hernia 1:37–40Google Scholar
  2. 2.
    EU Hernia Trialist Colaboration (2000) Mesh compared with non mesh methods of open groin hernia repair: systematic review of randomized controlled trial. Br J Surg 87:854–59PubMedGoogle Scholar
  3. 3.
    The EU Hernia Trialists Collaboration (2002) Open mesh versus non-mesh repair of groin hernia: meta-analysis of randomised trials based on individual patient data. Hernia 6(3):130–6CrossRefPubMedGoogle Scholar
  4. 4.
    Bendavid R, Fitzgibbon R, Amid P, Murphy J, Mc Kernan B (2000) Surgery roundtable: current issues in inguinal herniorrhaphy. Surgery Treatment Updates, Medscape Inc.Google Scholar
  5. 5.
    Liem MSL, van Duyn EB, van der Graaf J, van Vroonhoven TJMV, on behalf of the Coala Trial Group (2003) Recurrences after conventional anterior and laparoscopic inguinal hernia repair. Ann Surg 237:136–141CrossRefPubMedGoogle Scholar
  6. 6.
    Kingsnorth AN, O’Riordan DC (1998) Audit of patients outcomes after herniorrhaphy Surg Clin North Am 78(6): 1129–1137Google Scholar
  7. 7.
    Bringman S, Ramel S, Heikkinen TJ, Englund T, Westman B, Anderberg B (2003) Tension-free inguinal hernia repair: TEP versus mesh-plug versus Lichtenstein. A prospective randomized controlled trial Ann Surg 237:142–47Google Scholar
  8. 8.
    Bendavid R (1998) Complication of groin hernia surgery Surg Clin North Am 78(6): 1089–1103Google Scholar
  9. 9.
    Mattioli F, Puglisi M, Priora F, Millo F, Bottaro P (2002) Treatment of inguinal hernia: a prospective study comparing Bassini’s procedure, inguinal pre-peritoneal prothesis and the Lichtenstein technique. Chir Ital 54:317–21PubMedGoogle Scholar
  10. 10.
    Wantz GE (1998) Giant prosthetic reinforcement of the visceral sac. The Stoppa hernia repair. Surg Clin North Am 78(6):1075–87Google Scholar
  11. 11.
    Patino JF, Garcia-Herreros LG, Zundel N (1998) Inguinal hernia repair. Surg Clin North Am 78(6):1063–74Google Scholar
  12. 12.
    Haapaniemi S, Nilsson E, Gruber G, Sandblom G (1998) Methods of repair and risk for reoparation in Swedish hernia surgery from 1992 to1996 Br J Surg 85:1686–91Google Scholar
  13. 13.
    Bittner R, Schmedt CG, Schwarz J, Kraft K, Leibl BJ (2002) Laparoscopic transperitoneal procedure for routine repair of groin hernia. Br J Surg 89:1062–66CrossRefPubMedGoogle Scholar
  14. 14.
    Kehlet H, Nielsen MB (1998) The Danish hernia data base. Hernia 3 (Suppl 2): S65–6Google Scholar
  15. 15.
    Buononato M, Piitruti M, Maria G, Nigro C, Sganga G, Civello IM (2002) Tension-free in one-day surgery. Experience of 1091 cases. Hepatogastroenterology 40:715–8Google Scholar
  16. 16.
    Battisti G, Manno A (1999) L’evoluzione dei materiali protesici nella chirurgia del laparocele Osp Ital Chir 5:271–3Google Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • F. Ferrante
    • 1
    Email author
  • A. Rusconi
    • 1
  • A. Galimberti
    • 1
  • M. Grassi
    • 1
  • Lombardia Hernia Study Group
  1. 1.Department of General SurgeryEdoardo Bassini HospitalCinisello Balsamo (Milan)Italy

Personalised recommendations