Paediatric Day Care Inguinal Hernia Surgery in a General Hospital: A Prospective Study on Change in Practice

Introduction: This prospective study was undertaken to observe the prospects of daycare inguinal hernia surgery in general hospital setup in a developing country like Nepal and to assess the advantages, acceptability and safety of this approach. Methodology: The study was carried out prospectively for one year from March 2009- Feb 2010. Before surgery, children were examined in surgical referral clinic (SRC). Parents were given verbal and written instructions for pre-operative fasting. Operations were carried out under intravenous anesthesia without intubation by experienced consultant general surgeon or by registrar under supervision. Children were observed in recovery area till conscious. Once awake, the children were handed over to parents for further observation till fully conscious and could tolerate liquid. Oral Paracetamol and homecare instructions were given to parents. Appointment slip was given for follow up visit in SRC within 3-5 days. Results: There were 90 children, male 81 (89%), age 2 months to 13 years. Right inguinal hernias were 62 (70%). There were no major complications, mortality or readmission. Saving in terms of less disruption of routine work at home and office was more appreciated by parents. Conclusion: We conclude that day care inguinal hernia surgery in children in our setup is safe, economic well accepted by child and parent's both. Key words: Children; Day case hernia surgery; Paediatric inguinal hernia DOI: 10.3126/jnps.v30i3.3913J Nep Paedtr Soc 2010;30(3):128-131

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Audit of Referral Patterns for Hernia Repair – Are General Practitioners Aware of the Changing Face of Herniorrhaphy?

Annals of The Royal College of Surgeons of England ◽

10.1308/003588408x261573 ◽

2008 ◽

Vol 90 (2) ◽

pp. 140-141 ◽

Cited By ~ 1

Author(s):

JE Coulston ◽

GL Williams ◽

BM Stephenson

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

General Practitioners ◽

Groin Hernia ◽

Postal Questionnaire ◽

Further Education ◽

General Surgeon ◽

Hernia Surgery ◽

Referral Patterns ◽

Inguinal Hernia Surgery

INTRODUCTION The objective of this study was to examine referral patterns from general practitioners for groin hernia surgery and to assess their knowledge of services available to their patients. PATIENTS AND METHODS An anonymous postal questionnaire was sent to 120 general practitioners (GPs) in the South East Wales region who routinely refer patients for inguinal hernia surgery to the Royal Gwent Healthcare NHS Trust. RESULTS A total of 86 questionnaire replies were returned. There was variation in referral patterns between the GPs with the majority (84%) referring their patients for groin hernia repair to either a general surgeon or as an open referral. Only 14% referred directly to a hernia specialist and none regularly referred to a laparoscopic surgeon. CONCLUSIONS Referral patterns for inguinal hernia surgery do not reflect services provided in secondary care. Further education is required so that a patient's care can be optimised.

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The inguinal hernia management in Costa Rica according to a survey between surgeons: result comparison with 2018 International Groin Hernia Guidelines

BMC Surgery ◽

10.1186/s12893-021-01156-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jesús Martínez-Hoed ◽

Katherine Cordero-Bermúdez ◽

Providencia García-Pastor ◽

Salvador Pous-Serrano ◽

José A. Ortiz-Cubero

Keyword(s):

Inguinal Hernia ◽

Costa Rica ◽

Groin Hernia ◽

Laparoscopic Approach ◽

Costa Rican ◽

International Guideline ◽

Hernia Surgery ◽

Inguinal Hernia Surgery ◽

General Surgeons ◽

One Year

Abstract Background Inguinal hernia surgery is a frequent procedure among general surgeons in Costa Rica, but the management and technique are not uniform. The International Guideline for Groin Hernia management was published in 2018 to standardize the inguinal hernia surgery, but the diffusion of the guidelines and its adherence have been extremely varied. Purpose Collect and analyze the current reality regarding groin hernia management in Costa Rica. Secondly evaluate the diffusion and development comparing it to the guideline’s recommendations. Method Questionnaire of 42 single and multiple answer questions according to the topics of the International Guideline directed to general surgeons. Diffusion of the inquiry through surgical and hernia association chats and email. Timeframe June–December 2019. Results 64 surveys were collected, which is a representative number of the general surgeons national college. The most frequent procedure between these was the abdominal wall surgery. Every surgeon did more than 52 groin hernia surgeries in one year, most of them outpatients. The epidural anesthesia was used the most and Lichtenstein’s technique was the most frequently used (64%). 68% of the surgeons know how to perform a minimally invasive inguinal hernia surgery but with variable volumes. 38% of participants considered themselves experts in groin hernia management and 52% did not know the 2018 International Guideline. The recommendations of such guideline are followed only partially. Conclusions The 2018 Hernia Surge International Guidelines have low diffusion among Costa Rican surgeons. The laparoscopic approach is widely accepted but there are no studies to assess the results and the quality. There should be protocols and studies adapted to Costa Rica’s national situation.

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Day case inguinal hernia surgery in Nigerian children: Prospective study

African Journal of Paediatric Surgery ◽

10.4103/0189-6725.44181 ◽

2008 ◽

Vol 5 (2) ◽

pp. 76 ◽

Cited By ~ 6

Author(s):

UE Usang ◽

OA Sowande ◽

O Adejuyigbe ◽

TIB Bakare ◽

OA Ademuyiwa

Keyword(s):

Inguinal Hernia ◽

Prospective Study ◽

Day Case ◽

Hernia Surgery ◽

Nigerian Children ◽

Inguinal Hernia Surgery

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INGUINAL HERNIA SURGERY UNDER LOCAL ANAESTHESIA, AS DAY CARE SURGERY AND COMPARISON AMONG THREE GROUP OF PATIENTS CLASSIFIED ACCORDING TO TYPE OF MESH USED

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2015/1124 ◽

2015 ◽

Vol 4 (45) ◽

pp. 7719-7726

Author(s):

Arvind Shukla ◽

Arif Ahmed Ansari ◽

Mathur R K ◽

Anupam Anupam

Keyword(s):

Inguinal Hernia ◽

Day Care ◽

Local Anaesthesia ◽

Hernia Surgery ◽

Day Care Surgery ◽

Inguinal Hernia Surgery ◽

Care Surgery

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A prospective study of 100 cases of day care surgery in inguinal hernia

International Surgery Journal ◽

10.18203/2349-2902.isj20213596 ◽

2021 ◽

Vol 8 (9) ◽

pp. 2685

Author(s):

Bhavesh Vaishnani ◽

Rahul Khokhar ◽

Mohit Chauhan

Keyword(s):

Inguinal Hernia ◽

Prospective Study ◽

Day Care ◽

Age Groups ◽

Post Discharge ◽

Medical College ◽

Day Care Surgery ◽

Care Surgery ◽

A Prospective Study ◽

Patient’S History

Background: Day care or ambulatory surgery is a concept familiar to surgeons since time immemorial more so now as world over it has been re-evolved into a specialty in the modern medical care scenario. The patients and the procedures are selected in such a way so as to cause minimal harm or disturbance to the patient and his life.Methods: Present prospective study was conducted on 100 patients at the department of surgery, PDU medical college, Rajkot, Gujarat for the duration of one and half years. Patient's history had been taken regarding duration of illness, complain, and physical examination was done. With local examination of each specific cases done and then post-operative follow up was taken.Results: None of the patients had major immediate complications out of 100 patients, 18% of patients had minor immediate post op. 2 out of 100 patients had stay for more than 23 hours, due to immediate post-operative complications and 4 patients had to be re admitted post discharge. 96% of inguinal hernia patients are satisfied with the concept of day care surgery that proves acceptance for day care surgery.Conclusions: Day care surgery is suitable for patients of all age groups as seen in our study for inguinal hernia management. Looking at the advantages of reduction of hospital stay, less post-operative pain and greater satisfaction, day care hernia should be promoted.

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Sensory disturbances and neuropathic pain after inguinal hernia surgery

Scandinavian Journal of Pain ◽

10.1016/j.sjpain.2010.01.004 ◽

2010 ◽

Vol 1 (2) ◽

pp. 108-111 ◽

Cited By ~ 2

Author(s):

Niklas Magnusson ◽

Mats Hedberg ◽

Johanna Österberg ◽

Gabriel Sandblom

Keyword(s):

Inguinal Hernia ◽

Hernia Surgery ◽

Ilioinguinal Nerve ◽

Tep Repair ◽

Anaesthetic Agents ◽

Inguinal Hernia Surgery ◽

Total Extraperitoneal ◽

Sensory Disturbances ◽

One Year ◽

Pain Descriptors

AbstractObjectivesThe aim of this study was to explore how the handling of nerves affects the risk for developing sensory disturbances (SDs) following groin hernia surgery.Patients and methodsAll patients 18 years or older undergoing surgery for inguinal hernia at Mora Hospital, Sweden, during an eight-month period in 2006, were eligible for inclusion. The surgical procedure was recorded prospectively according to a standardised protocol. One year postoperatively all patients were requested to answer the Inguinal Pain Questionnaire as well as a set of 18 sensory and affective pain descriptors. They were also invited to clinical examination including sensory testing.ResultsOf the 157 hernia repairs in Mora during the period of study, 128 repairs in 116 patients, were registered prospectively according to the study protocol. Laparoscopic total extraperitoneal (TEP) repair was performed in 36 (28%) of the patients. Ninety-two (79%) patients, including five patients operated bilaterally, underwent postoperative examination. SDs were found in 33 (34%) of the groins examined. No descriptor was found that significantly predicted the presence of altered examination findings. No significant association between the intraoperative handling of nerves and SD was seen. In the TEP-group, no SDs were seen. Infiltration of local anaesthetic agents and blockade of the ilioinguinal nerve prior to surgery were found to be significantly associated with SD more than 2 cm away from the scar (both p < 0.05). The presence of SD was not associated with significant pain.ConclusionsSDs are common after open hernia surgery, but are not associated with persistent postoperative pain.

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Quality and reliability evaluation of current Internet information regarding mesh use in inguinal hernia surgery using HONcode and the DISCERN instrument

Hernia ◽

10.1007/s10029-021-02406-8 ◽

2021 ◽

Author(s):

Anna C. Fullard ◽

Sean M. Johnston ◽

Dermot J. Hehir

Keyword(s):

Inguinal Hernia ◽

Reliability Evaluation ◽

Hernia Surgery ◽

Inguinal Hernia Surgery ◽

Internet Information ◽

Quality And Reliability

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New Four-fold Technique to Spread the Self-Gripping Mesh in Open Inguinal Hernia Surgery

Indian Journal of Surgery ◽

10.1007/s12262-021-02718-0 ◽

2021 ◽

Author(s):

Arun Kumar Gupta ◽

Aman Raj ◽

Devadatta Poddar ◽

Lalit Kumar Bansal ◽

Peeyush Kumar ◽

...

Keyword(s):

Inguinal Hernia ◽

The Self ◽

Hernia Surgery ◽

Inguinal Hernia Surgery

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Customised gold weight eyelid implantation in paralytic lagophthalmos

The Journal of Laryngology & Otology ◽

10.1017/s0022215108001886 ◽

2008 ◽

Vol 122 (10) ◽

pp. 1088-1091 ◽

Cited By ~ 7

Author(s):

N Jayashankar ◽

K P Morwani ◽

M J Shaan ◽

S R Bhatia ◽

K T Patil

Keyword(s):

Visual Acuity ◽

Prospective Study ◽

Study Design ◽

Study Group ◽

Upper Eyelid ◽

Eyelid Closure ◽

Gold Weight ◽

One Year ◽

A Prospective Study

AbstractGold eyelid implantation is widely considered the procedure of choice to reanimate the upper eyelid in paralytic lagophthalmos. Commercially supplied implants are not readily available in all places and are sometimes cumbersome to import.Objective:We aimed to devise a method whereby every surgeon performing gold eyelid implantation could have easy and quick access to the implant. Furthermore, we aimed to develop a means of creating an implant of the exact weight required for complete eyelid closure.Study design and setting:A prospective study was performed from 1997 to 2005 in a tertiary research hospital, involving 50 subjects requiring gold upper eyelid implantation and using the technique in question.Results:Only patients with a minimum follow up of one year were included in the study group. Symptoms improved in 96 per cent of subjects, who were able to dispense with eyedrops and eye ointments. Visual acuity improved in 92 per cent of patients. There were two extrusions amongst the early cases.Conclusion and significance:Customised gold eyelid implantation offers an alternative in regions where commercial implants are not easily obtained.

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