Abstract
Purpose
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.
Methods
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).
Results
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.
Conclusion
With the Internet-based English- and German-language hernia register, a new instrument is now available for outcome research in hernia surgery.
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References
Reinpold W (2008) Aktuelle Entwicklung der Hernienchirurgie. Hamburger Ärzteblatt 10:1012–1017
Soleimanian A (2009) Postoperative Schmerzen im Fokus. Deutsches Ärzteblatt 106(16):752–753
Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403. doi:19636493
Miserez M, Alexandre JH, Campanelli G, Corcione F, Cuccurullo D, Pascual MH, Hoeferlin A, Kingsnorth AN, Mandala V, Palot JP, Schumpelick V, Simmermacher RK, Stoppa R, Flament JB (2007) The European hernia society groin hernia classification: simple and easy to remember. Hernia J hernias abdom wall surg 11(2):113–116. doi:17353992
Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, Dietz UA, Eker HH, El Nakadi I, Hauters P, Hidalgo Pascual M, Hoeferlin A, Klinge U, Montgomery A, Simmermacher RK, Simons MP, Smietanski M, Sommeling C, Tollens T, Vierendeels T, Kingsnorth A (2009) Classification of primary and incisional abdominal wall hernias. Hernia 13(4):407–414. doi:19495920
Versorgungsforschung Zf. Was ist Versorgungsforschung. 2011 [cited 2011 16 June]; Available from: http://www.zvfk.de/content/e2996/index_ger.html
Kehlet H (2008) Chronic pain after groin hernia repair. Br J Surg 95(2):135–136. doi:18196556
Sawicki PT (2008) Die Zukunft der deutschen Chirurgie liegt in der Überzeugung durch transparente Ergebnisqualität. Der Chirurg BDC 47(11):371–372
Ansaloni L, Catena F, Coccolini F, Negro P, Campanelli G, Miserez M (2009) New “biological” meshes: the need for a register. The EHS registry for biological prostheses: call for participating European surgeons. Hernia 13(1):103–108. doi:18946632
Dahlstrand U, Wollert S, Nordin P, Sandblom G, Gunnarsson U (2009) Emergency femoral hernia repair: a study based on a national register. Ann Surg 249(4):672–676. doi:19300219
Helgstrand F, Rosenberg J, Bay-Nielsen M, Friis-Andersen H, Wara P, Jorgensen LN, Kehlet H, Bisgaard T (2010) Establishment and initial experiences from the Danish ventral hernia database. Hernia J hernias abdom wall surg 14(2):131–135. doi:19937076
Israelsson LA, Smedberg S, Montgomery A, Nordin P, Spangen L (2006) Incisional hernia repair in Sweden 2002. Hernia 10(3):258–261. doi:16554979
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B. Stechemesser and D. A. Jacob contributed equally to this work.
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Stechemesser, B., Jacob, D.A., Schug-Paß, C. et al. Herniamed: an Internet-based registry for outcome research in hernia surgery. Hernia 16, 269–276 (2012). https://doi.org/10.1007/s10029-012-0908-3
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DOI: https://doi.org/10.1007/s10029-012-0908-3