OPEN VS LAPAROSCOPIC HERNIA REPAIR IN THE BRAZILIAN PUBLIC HEALTH SYSTEM. AN 11-YEAR NATIONWIDE POPULATION-BASED STUDY

Abdominal wall hernia is one of the most common surgical pathologies. The advent of minimally invasive surgery raised questions about the best technique to be applied, considering the possibility of reducing postoperative pain, a lower rate of complications, and early return to usual activities. To...

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Bibliographic Details
Published in:Arquivos de gastroenterologia 2020-12, Vol.57 (4), p.484-490
Main Authors: Everling, Eduardo Morais, Bandeira, Daniela Santos, Gallotti, Felipe Melloto, Bossardi, Priscila, Tonatto-Filho, Antoninho José, Grezzana-Filho, Tomaz de Jesus Maria
Format: Article
Language:English
Subjects:
Adult
Brazil - epidemiology
GASTROENTEROLOGY & HEPATOLOGY
Hernia
Hernia, Femoral - epidemiology
Hernia, Femoral - surgery
Hernia, Inguinal - epidemiology
Hernia, Inguinal - surgery
Herniorrhaphy - methods
Herniorrhaphy - statistics & numerical data
Humans
Laparoscopy
Middle Aged
Population studies in public health
Postoperative Complications - epidemiology
Public Health
Surgical Mesh
Treatment Outcome
Young Adult
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Summary:Abdominal wall hernia is one of the most common surgical pathologies. The advent of minimally invasive surgery raised questions about the best technique to be applied, considering the possibility of reducing postoperative pain, a lower rate of complications, and early return to usual activities. To evaluate the frequency of open and laparoscopic hernioplasties in Brazil from 2008 to 2018, analyzing the rates of urgent and elective surgeries, mortality, costs, and the impact of laparoscopic surgical training on the public health system. Nationwide data from 2008 to 2018 were obtained from the public health registry database (DATASUS) for a descriptive analysis of the selected data and parameters. 2,671,347 hernioplasties were performed in the period, an average of 242,850 surgeries per year (99.4% open, 0.6% laparoscopic). The economically active population (aged 20-59) constituted the dominant group (54.5%). There was a significant reduction (P
ISSN:0004-2803
1678-4219
1678-4219
DOI:10.1590/S0004-2803.202000000-85