Revised Surgical Procedure in Japanese Hernia Society Inguinal Hernia Classification

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  • 日本ヘルニア学会「鼠径部ヘルニアの分類改訂版」と手術術式の検討

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Objectives: We studied inguinal hernia surgical classification status following classification revised by the Japanese Hernia Society.<BR>Methods: The Shiga Hernia Society prospectively collected and analyzed data on 327 adults with inguinal hernia between May and October 2009.<BR>Results: Of the 327, 308 were assessed by surgeons as I–1 (5.2%), I–2 (46.1%), I–3 (14.0%), II–1 (5.2%), II–2 (6.2%), II–3 (14.0%), III (4.2%), and IV (2.6%). Type I classification varied considerably among facilities. I–1 type was 1.6% based on the new classification presumed based on hernia orifice diameter. Of surgical procedures, tension–free accounted for 89%, including direct kugel (DK) (49%), mesh plug (MP) (23%), and prolene hernia system (PHS) (16%). In type I, the greater the hernia orifice diameter, the less PM was used. In type II, DK and PHS were used more often than PM.<BR>Conclusions: new classification and mesh type and size suggest that the new classification is likely to be used as an inguinal hernia repair guideline, but the incidence of hernia classification differed among facilities even under the new classification, indicating that the Japan and Shiga Hernia Societies must provide more precise information on the new classification and hernia orifice diameter diagnosis.

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