Speciality OPCS HRG Procedure Commissioning Position Evidence Base Monitoring code referred to secondary care due to the management of groin hernia in increased risk of primary care—a systematic review. incarceration/strangulation Family Practice, 2000;17(5), 442-447. GP notebook: Paraumbilical hernias. Umbilical/Paraumbilical and midline ventral Available from: hernias: age.cfm?ID=- Surgical treatment should only be offered 1811546097&linkID=17862&cook=n when one of the following criteria is met: (accessed 2016) pain/discomfort interfering with Activities of Daily Living Friedrich M. Müller Riemenschneider OR F. Roll S. Kulp W. Vauth C. Greiner W & von der Schulenburg JM. Health Increase in size month on month OR Technology Assessment of laparoscopic compared to to avoid incarceration or conventional surgery with and without strangulation of bowel where hernia mesh for incisional hernia repair regarding safety, efficacy and cost- is > 2cm effectiveness. GMS health technology Incisional: assessment. 2008;4. Surgical treatment should only be offered when of the following criteria are met: Pain/discomfort interfering with Activities of Dabbas. Frequency of abdominal wall Living hernias: is classical teaching out of date. JRSM Short Reports: 2011;2/5. Fitzgibbons. Watchful waiting versus repair of inguial hernia in minimally symptomatic men, a randomised controlled trial. JAMA: 2006;295, 285- 292 Purkayastha S. Chow A, Anthanasiou T, Tekkis P P & Darzi A. Ingunal hernias. Clinical evidence, 2008;0412, 1462-3846 Rosenberg J. Bisgaard T. Kehlet H. Wara P. Asmussen T. Juul P & Bay-
Speciality OPCS code HRG Procedure Commissioning Position Evidence Base Monitoring referred to secondary care due to the increased risk of incarceration/strangulation Umbilical/Paraumbilical and midline ventral hernias: Surgical treatment should only be offered when one of the following criteria is met: pain/discomfort interfering with Activities of Daily Living OR Increase in size month on month OR to avoid incarceration or strangulation of bowel where hernia is > 2cm Incisional: Surgical treatment should only be offered when of the following criteria are met: Pain/discomfort interfering with Activities of Living management of groin hernia in primary care—a systematic review. Family Practice, 2000;17(5), 442-447. GP notebook: Paraumbilical hernias. Available from: age.cfm?ID=- 1811546097&linkID=17862&cook=n (accessed 2016) Friedrich M. Müller Riemenschneider F. Roll S. Kulp W. Vauth C. Greiner W & von der Schulenburg JM. Health Technology Assessment of laparoscopic compared to conventional surgery with and without mesh for incisional hernia repair regarding safety, efficacy and cost- effectiveness. GMS health technology assessment. 2008;4. Dabbas. Frequency of abdominal wall hernias: is classical teaching out of date. JRSM Short Reports: 2011;2/5. Fitzgibbons. Watchful waiting versus repair of inguial hernia in minimally symptomatic men, a randomised controlled trial. JAMA: 2006;295, 285- 292 Purkayastha S. Chow A, Anthanasiou T, Tekkis P P & Darzi A. Ingunal hernias. Clinical evidence, 2008;0412, 1462-3846 Rosenberg J. Bisgaard T. Kehlet H. Wara P. Asmussen T. Juul P & Bay-
DCCG-Comm-for-Value_Decision-Making_Prioritisation-FINAL-April2017.docx