Page 9 - herina surgery and possible lawsuits

; Incidence & epidem iology

The true extent of the burden of hernia disease is unknown. However one can estimate the
burden of hernia with the help of some statistics presented in the literature.

Hernia repair is the second most frequently performed operation in France and in the United
States, the prevalence being 36 for every 1000 males.[27]

In United States inguinal, femoral, umbilical, and epigastric hernias collectively represent
the most common group of major operations performed by general surgeons.

Table 3: Abdominal wall hernia repairs in the United States [3]
Procedure Total Percentage
Inguinal hernia 770,000 66.38%

Femoral henna 30,000 2.59%
Umbilical herrna 175,000 15.08%

Epigastric, spigelian,etc. 80,000 6.90%
Incisional hernia 105.000 9.05%

Total 11,60,000 100%
Above statistics showed that total 770,000 inguinal hernia repairs were done in 2003 m

United states of America, of which Lichtenstein 37%(295,000), Plug 34%(270,000),
Laparoscopy 14%(115,000), Other mesh devices 8%(65,000) and Tissue-to-tissue
7%(55,000).[3]

• In India, in the year 2000, there were 2514 operative procedures performed in the
General Surgical Department at one of the ESI hospitals m the Delhi area. 17% (435/

2514) of the procedures were for hernias and 88% (382/ 435) were for inguinal
hernias.

• In United Kingdom, m excess of 100,000 inguinal henna repairs are performed each
year, 30% of it are performed under local anesthesia as daycare surgery.[28]

• In Australia, a total of 39000 elective inguinal hernia repairs were performed in
public and pnvate hospitals each year. [29]
Incidence in relation age and sex

Indirect inguinal herniorrhaphy is one of the most frequently performed surgical procedures
in children. The overall incidence of inguinal hernias in childhood ranges from 0.8% to 4%.

The incidence of male to female is 10:1 in study of Mary et al, but 5:1 in study of Ein et al.

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