Hernia surgery in Norway

Inguinal hernia repair has undergone major changes during the last decade. This study aimed to explore the impact on treatment algorithms used in Norway. A questionnaire was sent to all public hospitals in January 1999. 57 of 58 hospitals where inguinal hernia repairs were undertaken responded. Most repairs are undertaken in local/district hospitals, but in the majority of hospitals, surgeons performed a limited number of procedures (one or two per month). The vast majority of hospitals used two different surgical techniques, open mesh techniques being the preferred technique. Most hospitals made limited use of laparoscopic techniques. Sick-leave periods were shorter after surgery with open mesh techniques as compared to traditional techniques. Less than 20% of hospitals had established control regimens. A clear tendency towards standardization of inguinal hernia repair can be observed throughout the country. Open mesh techniques have now replaced the traditional operative methods, whereas laparoscopic technique has not been adopted. Quality assessment of inguinal hernia repair could be improved.