Springer Online Journal Archives 1860-2000
Summary Despite improvements in hernia surgery, there are still unsolved problems, especially when operations are performed outside dedicated hernia centres: reduction of recurrence rates, selection of the optimal anesthesia, reduction of length of stay and formulation of evidence based convalescence recommendations. Most of these problems can only be solved through collaboration and multicenter studies. By setting up a national clinical data base for hernia surgery, we aim to establish a scientific basis for the surgical practise in hernia surgery, based on two parallel strategies: 1) to collect nation wide information on the relation between the procedures performed and rates of operation for recurrence, choice of anesthesia and length of stay and 2) to use the data base collaboration to establish multicenter prospective clinical trials. A simple, inexpensive and functional data base was developed and started registration on 1. Jan 1998, with current participation of departments and outpatient clinics, performing approximately 95% of hernia repairs in Denmark. Presently, 3 prospective multicenter studies are under development. A national Danish hernia data base is in function and has the potential to monitor and improve current practise in hernia surgery.
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