Standard Hernia Surgery Works Best in Men
Laparoscopic Hernia Surgery May Increase Risk of Complications
More Not Necessarily Better
In an editorial that accompanies the study, Danny O. Jacobs,
MD, MPH, of Duke University Medical Center, says these findings show that most
general surgeons can achieve excellent results using conventional hernia
surgery techniques under local anesthesia.
"They also remind us that substantive short-term and
long-term complications may occur, even after 'simple' hernia surgery,"
But he says the study also raises many important questions
about how the surgeon's and other hospital employees' experience with hernia
surgery affects how well the patient does.
"The relationship between the volume of procedures
performed and the outcomes is not straightforward," writes Jacobs. "It
is apparent that some hospitals that do few hernia surgeries have good outcomes
and some hospitals that do many hernia surgeries have relatively poor
outcomes," he explains.