Evolution of an inguinal hernia surgery practice.
نویسندگان
چکیده
BACKGROUND Inguinal hernia surgery has undergone numerous advances in the last few years. This study analysed the changes in the practice of one surgeon in a district general hospital over a seven year interval. The effect of changing from Bassini to Lichtenstein repair in 1994 was evaluated. METHODS The study involved two parts: first a search of a computerised database of inguinal hernia procedures, and second, postal audits of men who had an inguinal hernia repair in 1993 and 1994 with outpatient follow up for those with a possible recurrence. RESULTS A total of 1037 hernias were repaired over the seven years. There was an increase in the proportion of day cases from 18% to 70% and the number of operations performed under local anaesthetic rose from 1% to 45%. The postal audits had response rates of 79% (1993) and 66% (1994). Some 5/98 (5%) recurrent hernias were identified from the 1993 (Bassini) patients compared with 1/67 (1.5%) from the 1994 (Lichtenstein) cohort. CONCLUSION Lichtenstein hernia repair can be performed safely as a day case using local anaesthetic in the majority of patients and appears to have a lower recurrence rate than Bassini repair.
منابع مشابه
Ileoileal Knot as a Content of Obstructed Hernia: What Are the Odds?
An obstructed inguinal hernia is a common surgical emergency, which presents with a variety of contents like the small intestine, omentum, and colon. Intestinal knotting is a rare entity encountered in surgical practice; it occurs when one coil of intestine wraps around the other and eventually leads to complications such as intestinal obstruction, ischemia, and gangrene. Both conditions are co...
متن کاملLaparoscopic-Assisted Percutaneous Extraperitoneal Closure for Inguinal Hernia Repair in Children: An Initial Experience
Over the past two decades, laparoscopy has advanced and multiple techniques for inguinal hernia repair have been established. Laparoscopic-assisted percutaneous extraperitoneal closure (LAPEC) for inguinal hernia repair in children, is one of the most simple and reliable methods. The present study aimed to assess the safety and feasibility of the LAPEC of inguinal hernia in children.From Januar...
متن کاملThe Effect of Lettuce Syrup as an Adjunct Therapy in Relieving Pain after Inguinal Hernia Surgery
Background: Pain is one of the most important and common problems that various strategies are always used to alleviate it. In order to achieve the goal of optimal pain management, various analgesics and narcotics are used, although they have significant side effects. Numerous manuscripts in Iranian Traditional Medicine have expressed the analgesic effects of lettuce. The objective of this study...
متن کاملSexual function after Stoppa hernia repair in patients with bilateral inguinal hernia
Background :This study was performed to evaluate the effect of Stoppa hernia repair on sexual function of the patients with bilateral inguinal hernia. Methods: In a prospective follow-up study, 50 patients with bilateral inguinal hernia were investigated to assess sexual function before and 1 and 6 months after standardized Stoppahernioplasty using the International Index of Erectile Functi...
متن کاملAmyand's hernia: a rare inguinal hernia
Inguinal hernia repair is commonplace in general surgery practice and an estimated 700 000 are performed each year in the USA. The presence of the vermiform appendix contained in the hernia sac, or an Amyand's hernia, is exceedingly rare, occurring in 1% of inguinal hernia patients. We report the intra-operative findings of a standard inguinal hernia repair and discuss the management of the fou...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Postgraduate medical journal
دوره 77 905 شماره
صفحات -
تاریخ انتشار 2001