ORIGINALARTICLEInternationalguidelinesforgroinherniamanagementTheHerniaSurgeGroup1Received1 5February2017 2 Accepted3 13September2017 4 Publishedonline5 12January20186TheAuthor7s8 2018. ThisarticleisanopenaccesspublicationAbstractIntroductionWorldwide9 morethan20millionpatientsundergogroinherniarepairannually. Themanydifferentapproaches10 treatmentindicationsandasignificantarrayoftechniquesforgroinherniarepairwarrantguidelinestostandardizecare11 minimizecomplications12 andimproveresults. Themaingoaloftheseguidelinesistoimprovepatientoutcomes13 specificallytodecreaserecurrenceratesandreducechronicpain14 themostfrequentproblemsfol-

Apuntes

ORIGINALARTICLEInternationalguidelinesforgroinherniamanagementTheHerniaSurgeGroup1Received: 5February2017 / Accepted: 13September2017 / Publishedonline: 12January2018ÓTheAuthor(s) 2018. ThisarticleisanopenaccesspublicationAbstractIntroductionWorldwide, morethan20millionpatientsundergogroinherniarepairannually. Themanydifferentapproaches, treatmentindicationsandasignificantarrayoftechniquesforgroinherniarepairwarrantguidelinestostandardizecare, minimizecomplications, andimproveresults. Themaingoaloftheseguidelinesistoimprovepatientoutcomes, specificallytodecreaserecurrenceratesandreducechronicpain, themostfrequentproblemsfol- lowinggroinherniarepair. Theyhavebeenendorsedbyallfivecontinentalherniasocieties, theInternationalEndoHerniaSocietyandtheEuropeanAssociationforEndo- scopicSurgery. MethodsAnexpertgroupofinternationalsurgeons (theHerniaSurgeGroup) andoneanesthesiologistpainexpertwasformed. Thegroupconsistedofmembersfromallcontinentswithspecificexperienceinhernia-relatedresearch. Carewastakentoincludesurgeonswhoperformdifferenttypesofrepairandhadpreferablyperformedresearchongroinherniasurgery. DuringtheGroup’sfirstmeeting, evidence-basedmedicine (EBM) trainingoccur- redand166keyq...