Welcome to the AHS 2020 ePoster Session. Please scroll down to view all of the submitted posters or press Control-F to search. To view the poster and its abstract, click on the poster image. Many posters also have a brief audio introduction which can be played by going to the bottom of the poster screen.
P014: VENTRAL HERNIA REPAIR: A NATIONAL SURVEY
J Mannion, MCh, MRCS1; V Tewatia, MCh, MRCS1; M Horan, BM, BCh1; M Vu, BMBS2; S Johnston, MCh, FRCS1; D Hehir, MCh, FRCS, FACS2; 1Midland Regional Hospital Tullamore; 2GEMS, University of Limerick
Introduction: Ventral hernia repair is commonly encountered surgical disorder. Repair options are influenced by surgeon, patient and hernia characteristics. While there has been a gradual progression internationally towards minimally invasive mesh augmentation, surgical practice in the Republic of Ireland is currently undocumented in the absence of a formal registry.
Objective: To establish current practice for the repair of ventral hernia in the Republic of Ireland
Methods: An 11-question survey was disseminated nationally via email and standard postage to all identifiable General Surgeons (N=168).
Results: The response rate was 61% (N = 103) with 45% of respondents identifying as colorectal surgeons and 54% operating in public hospitals. The majority (64%) perform less than five repairs per month. Open repair predominates for small (87%) and large (70%) hernias with laparoscopic repair accounting for 40% of medium sized hernias. There was equal use of onlay, extraperitoneal and intraperitoneal mesh placement. Component separation was used by 63% with an anterior approach being favoured.
Conclusion: This study demonstrates variable practice with a trend towards low volume practice, open surgery for hernias of all sizes and utilization of open anterior component separation which does not concur with international trends. The establishment of a national registry to accurately record practice and report outcomes is therefore recommended.
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