Inguinal hernia repair as day‐case surgery: a potentially underutilized practice

Tam, Adrian; Phong, Jenny; Gee, Joyce Lok; Strauss, Paul

doi:10.1111/ans.16049

Cited by 4 publications

(6 citation statements)

References 9 publications

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“…Mills et al found a similar situation for inguinal hernia repairs performed in Australia between 2000 and 2019, which were also significantly below the RACS target, with only 22.2% performed as day surgery [ 26 , 27 ]. A survey of Australian patients who underwent inguinal hernia repair as a day procedure found that 88% were satisfied with their experience and would choose day surgery again [ 28 ]. The benefits of day surgery include a decrease in the risk of hospital-acquired infections, a reduced healthcare cost, and a decreased risk of cancellation due to the lack of hospital beds [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Trends in Incisional and Ventral Hernia Repair: A Population Analysis From 2001 to 2021

Gillies¹,

Anthony²,

Al-Roubaie³

et al. 2023

Cureus

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Background Incisional and ventral hernias are highly prevalent, with primary ventral hernias occurring in approximately 20% of adults and incisional hernias developing in up to 30% of midline abdominal incisions. Recent data from the United States have shown an increasing incidence of elective incisional and ventral hernia repair (IVHR) and emergency repair of complicated hernias. This study examines Australian population trends in IVHR over a two-decade study period. Methods This retrospective study was performed using procedure data from the Australian Institute of Health and Welfare and population data from the Australian Bureau of Statistics captured between 2000 and 2021 to calculate incidence rates per 100,000 population by age and sex for selected subcategories of IVHR operations. Trends over time were evaluated using simple linear regression. Results There were 809,308 IVHR operations performed in Australia during the study period. The cumulative incidence adjusted for population was 182 per 100,000; this increased by 9.578 per year during the study period (95%CI = 8.431-10.726, p<.001). IVHR for primary umbilical hernias experienced the most significant increase in population-adjusted incidence, 1.177 per year (95%CI = 0.654-1.701, p<.001). Emergency IVHR for incarcerated, obstructed, and strangulated hernias increased by 0.576 per year (95%CI = 0.510-0.642, p<.001). Only 20.2% of IVHR procedures were performed as day surgery. Conclusions Australia has seen a significant increase in IVHR operations performed in the last 20 years, particularly those for primary ventral hernias. IVHR for hernias complicated by incarceration, obstruction, and strangulation also increased significantly. The proportion of IVHR operations performed as day surgery is well below the target set by the Royal Australasian College of Surgeons. With the increasing incidence of IVHR operations and an increasing proportion of these being emergent, elective IVHR should be performed as day surgery when it is safe.

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Section: Discussionmentioning

confidence: 99%

Trends in Incisional and Ventral Hernia Repair: A Population Analysis From 2001 to 2021

Gillies¹,

Anthony²,

Al-Roubaie³

et al. 2023

Cureus

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“…Individual patient characteristics, including age, existing medical conditions, lifestyle, and unique features of the hernia, play a crucial role in determining whether open or laparoscopic procedures should be used and in selecting the most suitable type of mesh. A comprehensive assessment before surgery, which includes counseling the patient and involving them in the decision-making process, helps to identify the most appropriate candidates for hernia repair procedures that are likely to have the highest success rates and patient satisfaction [ 44 ].…”

Section: Reviewmentioning

confidence: 99%

“…Moreover, the topic delves into prospective paths in hernia repair, encompassing recognized areas of study that need to be addressed, possible advancements, and the significance of personalized medicine. The efficacy of hernia repair techniques is a crucial factor in the comparative comparison [ 44 ]. The Bassini, Shouldice, and McVay procedures are traditional open techniques with long-standing historical relevance.…”

Section: Reviewmentioning

confidence: 99%

Contemporary Approaches to Hernia Repair: A Narrative Review in General Surgery

Olanrewaju,

Saleem,

Ansah Owusu

et al. 2023

Cureus

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This narrative review offers a thorough and inclusive examination of modern techniques for hernia repair in general surgery. This exploration spans the development of new methods, substances, and technology, providing insight into the significant changes in hernia treatment in recent years. An extensive examination of peer-reviewed literature, encompassing historical advancements, conventional approaches, and the rise of contemporary surgical tactics, was undertaken. Key focus areas include integrating mesh technology, minimally invasive procedures, biological meshes, and 3D printing improvements. The overview explains the historical development from traditional open surgeries to the introduction of laparoscopic procedures, providing detailed information on several modern approaches. The presentation includes information on the utilization of mesh, concerns particular to individual patients, and the increasing importance of robots. An extensive analysis examines complications, obstacles, and current trends, thoroughly assessing safety profiles and patient outcomes. This review aims to consolidate existing information, highlight areas lacking research, and provide future paths to enhance outcomes for patients undergoing general surgery. At the same time, the field of hernia repair experiences significant changes. The integration of classic and contemporary approaches illustrates the changing character of hernia repair, enabling a nuanced understanding among physicians and academics alike.

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“…Inpatient stays for most people undergoing inguinal hernia repair in Australia may have several explanations. Patient‐reported outcomes following same‐day surgery are at least as good as those after overnight stays, 3,7 but other factors may be barriers to routinely providing this option (Box 3). 3,4,7 Increasing same‐day inguinal hernia repair rates will consequently involve a complex interplay of pre‐ and post‐operative decisions by hospitals, surgeons, and patients.…”

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confidence: 99%

Same‐day inguinal hernia repair in Australia, 2000–19

Mills

Luscombe

Hugh

2022

Medical Journal of Australia

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ame-day inguinal hernia repair was recognised as safe and cost-effective 65 years ago. 1 However, only 18 of 526 surgeons who billed Medibank during 2015-16 and 2016-17 for five or more repair procedures (3%) had discharged all their patients on the day of admission. 2 As this rate did not reflect international guidelines, the Royal Australasian College of Surgeons (RACS) commissioned in 2017 a literature review with input from clinical experts, and recommended that 70-80% of inguinal hernia repairs in adults should be undertaken as sameday procedures. 3,4 We extracted hospitalisations (public and private) data from the Australian Institute of Health and Welfare principal diagnosis data cubes 5 for patients with inguinal hernia as the principal diagnosis (International Classification of Diseases, 10th revision, code K40) during the period 1 July 2000 -30 June 2019. We also compared changes in the proportions of same-day procedures during 2004-05 to 2017-18 with changes in New Zealand and the United Kingdom (further details: Supporting Information, supplementary methods). Our study was granted exemption from formal ethics review by the University of Sydney Human Research Ethics Committee.

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Inguinal hernia repair as day‐case surgery: a potentially underutilized practice

Cited by 4 publications

References 9 publications

Trends in Incisional and Ventral Hernia Repair: A Population Analysis From 2001 to 2021

Trends in Incisional and Ventral Hernia Repair: A Population Analysis From 2001 to 2021

Contemporary Approaches to Hernia Repair: A Narrative Review in General Surgery

Same‐day inguinal hernia repair in Australia, 2000–19

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