PubMed · 11622267
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
M B Mirskij. 1990. [Not Available].. https://pubmed.ncbi.nlm.nih.gov/11622267/
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
The history of open surgery for groin hernia has gone through many stages of development, including the ancient era (ancient times to the fifteenth century), the era of the start of herniology (fifteenth to seventeenth centuries), the anatomic era (seventeenth to nineteenth centuries), the era of repair under tension (nineteenth to mid-twentieth century), and the era of tensionless repair (mid-twentieth century to the present). Five principles of modern hernia repair developed through these periods of development: antiseptic/aseptic hernia operation, high ligation of the sac, tightening of the internal ring, reconstruction of the posterior inguinal floor, and tensionless repair. Interestingly, many of the initial attempts at laparoscopic hernia repair did not adhere to the recognized principles of hernia surgery learned from open surgery. It is only when the transabdominal preperitoneal mesh repair and the totally extraperitoneal approach, which adhere to the basic principles, are considered that the results of laparoscopic hernia repair procedures can improve and the recurrence of hernia decrease.
Every patient represents a unique and complex situation a clinician has to deal with. In order to cope with this complexity of information, reduction is necessary, especially in communication about diseases or therapy. The first reduction is made when a patient is given a diagnosis which reflects a constellation of similar symptoms. A score also reduces the given amount of clinical data into a one-dimensional value. The primary aim of a score is a systematic comparison between patients and institutions. Scores reduce information to focus on the essentials. They are used for severity classification and prognosis, evaluation of outcome and treatment effects, case-mix adjustments in comparative audits, and economic evaluation. Quality criteria of score systems which should be considered in the development and application are: reliability, validity, measurability, applicability, and clinical relevance. This introductory article gives a brief description of these terms.
Explore the source record for details and available documents.