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Research Letter
March 25, 2020

Surgeon Attitudes and Beliefs Toward Abdominal Wall Hernia Repair in Female Patients of Childbearing Age

Author Affiliations
  • 1University of Michigan, Center for Healthcare Outcomes and Policy, Ann Arbor
  • 2University of Michigan, Department of Surgery, Ann Arbor
  • 3University of Michigan, Department of Learning Health Sciences, School of Medicine, Ann Arbor
JAMA Surg. Published online March 25, 2020. doi:10.1001/jamasurg.2020.0099

A substantial knowledge gap exists in understanding sex as a biological variable for abdominal wall hernia repair, specifically regarding female patients of childbearing age.1-3 While data suggest repairs should ideally occur following completion of all pregnancies, adherence to these guidelines varies considerably among surgeons.4-6 Moreover, wide variation in operative timing, technique, and mesh use exists. Surgeon motivation and behavior contributing to this variability is unknown. Whether and how a potential pregnancy influences surgeon decision-making in regards to operative timing and approach remains inadequately characterized. In this context, we sought to understand surgeon consideration of childbearing age and intent when managing abdominal wall hernias in women and girls.

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