UK set for boost in hernia laparoscopy:
This article was originally published in Clinica
The UK's NHS is set to increase the number of laparoscopic operations to treat inguinal hernia, according to the National Institute for Clinical Excellence's final appraisal determination, in the three-year review of current policy. Subject to any appeals being lodged within 15 days of its publication on July 14, the technique will be considered for use in the 70,000 herniorraphies currently performed in England (figures for Wales were unavailable). The guidance (see http://www.nice.org.uk/pdf/FAD_Laphernia_review_2004.pdf) will replace that issued by NICE in January 2001. Current NHS policy is that open (mesh) surgery is the preferred option in primary hernias and that laparoscopy should be considered in bilateral hernias, where the totally extraperitoneal procedure should be the preferred technique.