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Surgeon attitudes and beliefs toward abdominal wall hernia repair in female patients of childbearing age

JAMA Mar 28, 2020

Jafri SM, Vitous CA, Dossett LA, et al. - Researchers sought to understand surgeon consideration of childbearing age and intent when abdominal wall hernias in women and girls are managed. They identified a substantial knowledge gap in understanding gender as a biological variable for abdominal wall hernia repair, specifically regarding female patients of childbearing age. As per data, repairs should ideally be performed following completion of all pregnancies, however, considerable variation is observed in adherence to these guidelines among surgeons. Moreover, there are wide variation in operative timing, technique, and mesh use. Lack of understanding was observed concerning surgeon motivation and behavior contributing to this variability. They recognized inadequate characterization of whether and how a potential pregnancy influences surgeon decision-making in regards to operative timing and approach.

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