About this guidance

About this guidance

NICE technology appraisal guidance is about the use of new and existing medicines and treatments in the NHS in England and Wales.

This guidance replaces 'Laparoscopic surgery for hernia' (NICE Technology Appraisal Guidance 18) issued in January 2001.

The Institute reviews each piece of guidance it issues.

The review and re-appraisal of the use of laparoscopic surgery for inguinal hernia repair has resulted in changes in the guidance. Specifically there has been:

  • a recommendation that laparoscopic surgery is one of the treatment options for the repair of inguinal hernia

  • a recommendation that patients should be fully informed of all the risks and benefits of open and laparoscopic surgery by either the TAPP or TEP approaches, to enable them to choose between the procedures.

We have produced a summary of this guidance for patients and carers. Tools to help you put the guidance into practice and information about the evidence it is based on are also available.

Your responsibility

This guidance represents the views of NICE and was arrived at after careful consideration of the evidence available. Healthcare professionals are expected to take it fully into account when exercising their clinical judgement. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.

Implementation of this guidance is the responsibility of local commissioners and/or providers. Commissioners and providers are reminded that it is their responsibility to implement the guidance, in their local context, in light of their duties to avoid unlawful discrimination and to have regard to promoting equality of opportunity. Nothing in this guidance should be interpreted in a way which would be inconsistent with compliance with those duties.


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