Implementing Contralateral Surgical Exploration during Hernia Repair in Children with Unilateral Inguinal Hernia: A Dutch Qualitative Study

A total of 10–15% of children undergoing unilateral inguinal hernia repair develop a metachronous contralateral inguinal hernia (MCIH) that necessitates second anesthesia and surgery. Contralateral exploration can be performed to prevent MCIH development. This study investigates (1) factors that pro...
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Autor*in:	Kelly M. A. Dreuning [verfasserIn] Femke Van Nassau [verfasserIn] Johannes R. Anema [verfasserIn] L. W. Ernest Van Heurn [verfasserIn] Joep P. M. Derikx [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	inguinal hernia inguinal hernia repair contralateral exploration metachronous hernia qualitative research

Übergeordnetes Werk:	In: Children - MDPI AG, 2014, 10(2023), 1631, p 1631
Übergeordnetes Werk:	volume:10 ; year:2023 ; number:1631, p 1631

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/children10101631

Katalog-ID:	DOAJ093159307

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authorswithroles_txt_mv	Kelly M. A. Dreuning @@aut@@ Femke Van Nassau @@aut@@ Johannes R. Anema @@aut@@ L. W. Ernest Van Heurn @@aut@@ Joep P. M. Derikx @@aut@@
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callnumber-first	R - Medicine
author	Kelly M. A. Dreuning
spellingShingle	Kelly M. A. Dreuning misc RJ1-570 misc inguinal hernia misc inguinal hernia repair misc contralateral exploration misc metachronous hernia misc qualitative research misc Pediatrics Implementing Contralateral Surgical Exploration during Hernia Repair in Children with Unilateral Inguinal Hernia: A Dutch Qualitative Study
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topic_title	RJ1-570 Implementing Contralateral Surgical Exploration during Hernia Repair in Children with Unilateral Inguinal Hernia: A Dutch Qualitative Study inguinal hernia inguinal hernia repair contralateral exploration metachronous hernia qualitative research
topic	misc RJ1-570 misc inguinal hernia misc inguinal hernia repair misc contralateral exploration misc metachronous hernia misc qualitative research misc Pediatrics
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title	Implementing Contralateral Surgical Exploration during Hernia Repair in Children with Unilateral Inguinal Hernia: A Dutch Qualitative Study
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author_browse	Kelly M. A. Dreuning Femke Van Nassau Johannes R. Anema L. W. Ernest Van Heurn Joep P. M. Derikx
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title_sort	implementing contralateral surgical exploration during hernia repair in children with unilateral inguinal hernia: a dutch qualitative study
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title_auth	Implementing Contralateral Surgical Exploration during Hernia Repair in Children with Unilateral Inguinal Hernia: A Dutch Qualitative Study
abstract	A total of 10–15% of children undergoing unilateral inguinal hernia repair develop a metachronous contralateral inguinal hernia (MCIH) that necessitates second anesthesia and surgery. Contralateral exploration can be performed to prevent MCIH development. This study investigates (1) factors that promote or hinder the adoption and (de-)implementation of contralateral groin exploration in children ≤ 6 months undergoing unilateral hernia repair and (2) strategies to overcome these barriers. A qualitative interview study was conducted using 14 semi-structured interviews and two focus groups involving healthcare professionals, stakeholders involved from a patients’ perspective and stakeholders at the organizational/policy level. The results show that the effectiveness of surgical treatment and stakeholders’ motivation and attitudes towards the intervention were reported as barriers for implementation, whereas patient and family outcomes and experience and strategies to overcome these barriers were identified as facilitating factors for future implementation. This study is unique in its contributions towards insights into facilitators and barriers for (de-)implementation of contralateral groin exploration in children with a unilateral inguinal hernia. In case the HERNIIA trial shows that contralateral exploration is beneficial for specific patient and family outcomes or a subgroup of children, the results of this study can help in the decision-making process as to whether contralateral exploration should be performed or not.
abstractGer	A total of 10–15% of children undergoing unilateral inguinal hernia repair develop a metachronous contralateral inguinal hernia (MCIH) that necessitates second anesthesia and surgery. Contralateral exploration can be performed to prevent MCIH development. This study investigates (1) factors that promote or hinder the adoption and (de-)implementation of contralateral groin exploration in children ≤ 6 months undergoing unilateral hernia repair and (2) strategies to overcome these barriers. A qualitative interview study was conducted using 14 semi-structured interviews and two focus groups involving healthcare professionals, stakeholders involved from a patients’ perspective and stakeholders at the organizational/policy level. The results show that the effectiveness of surgical treatment and stakeholders’ motivation and attitudes towards the intervention were reported as barriers for implementation, whereas patient and family outcomes and experience and strategies to overcome these barriers were identified as facilitating factors for future implementation. This study is unique in its contributions towards insights into facilitators and barriers for (de-)implementation of contralateral groin exploration in children with a unilateral inguinal hernia. In case the HERNIIA trial shows that contralateral exploration is beneficial for specific patient and family outcomes or a subgroup of children, the results of this study can help in the decision-making process as to whether contralateral exploration should be performed or not.
abstract_unstemmed	A total of 10–15% of children undergoing unilateral inguinal hernia repair develop a metachronous contralateral inguinal hernia (MCIH) that necessitates second anesthesia and surgery. Contralateral exploration can be performed to prevent MCIH development. This study investigates (1) factors that promote or hinder the adoption and (de-)implementation of contralateral groin exploration in children ≤ 6 months undergoing unilateral hernia repair and (2) strategies to overcome these barriers. A qualitative interview study was conducted using 14 semi-structured interviews and two focus groups involving healthcare professionals, stakeholders involved from a patients’ perspective and stakeholders at the organizational/policy level. The results show that the effectiveness of surgical treatment and stakeholders’ motivation and attitudes towards the intervention were reported as barriers for implementation, whereas patient and family outcomes and experience and strategies to overcome these barriers were identified as facilitating factors for future implementation. This study is unique in its contributions towards insights into facilitators and barriers for (de-)implementation of contralateral groin exploration in children with a unilateral inguinal hernia. In case the HERNIIA trial shows that contralateral exploration is beneficial for specific patient and family outcomes or a subgroup of children, the results of this study can help in the decision-making process as to whether contralateral exploration should be performed or not.
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title_short	Implementing Contralateral Surgical Exploration during Hernia Repair in Children with Unilateral Inguinal Hernia: A Dutch Qualitative Study
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