Outcome of inguinal hernia repair at two rural hospitals in northern Scotland

Menakuru, Somasekhar R.; Philip, T; Ravindranath, N.; Fisher, P. W.

doi:10.1016/s1479-666x(06)80109-5

Cited by 11 publications

(11 citation statements)

References 8 publications

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“…An additional advantage of our study was the combined method of questionnaire and clinical examination, which proved to be an effective strategy to assess both operated incisional hernia patients, and patients who had not previously been diagnosed with a hernia. This is in accordance with previous studies using the same method for follow-up [15][16][17][18]. Our study showed a very high response rate of 95.3% by telephone interview, and a subsequent clinical examination rate of 100% of all patients suspected of hernia.…”

Section: Discussionsupporting

confidence: 93%

Incisional hernia after open versus laparoscopic sigmoid resection

et al. 2008

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Section: Discussionsupporting

confidence: 93%

Incisional hernia after open versus laparoscopic sigmoid resection

et al. 2008

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“…Community hospitals provide a wide range of services, covering the whole spectrum of care provision, from preventative [2021] and primary care [2223], through to outpatient services [242526], inpatient medical care [2728], surgery [2930], minor injury [31] and accident and emergency care [2232]. Within these broad areas, there was considerable diversity of the types of services provided, and a number of studies further reported on the implementation of new and innovative types and methods of service provision not previously available within the community hospital setting, such as point-of-care testing [23], fracture clinics [33] or chemotherapy [34].…”

Section: Resultsmentioning

confidence: 99%

Community Hospitals in Selected High Income Countries: A Scoping Review of Approaches and Models

Winpenny¹,

Corbett²,

Miani³

et al. 2016

International Journal of Integrated Care

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Background:There is no single definition of a community hospital in the UK, despite its long history. We sought to understand the nature and scope of service provision in community hospitals, within the UK and other high-income countries.Methods:We undertook a scoping review of literature on community hospitals published from 2005 to 2014. Data were extracted on features of the hospital model and the services provided, with results presented as a narrative synthesis.Results:75 studies were included from ten countries. Community hospitals provide a wide range of services, with wide diversity of provision appearing to reflect local needs. Community hospitals are staffed by a mixture of general practitioners (GPs), nurses, allied health professionals and healthcare assistants. We found many examples of collaborative working arrangements between community hospitals and other health care organisations, including colocation of services, shared workforce with primary care and close collaboration with acute specialists.Conclusions:Community hospitals are able to provide a diverse range of services, responding to geographical and health system contexts. Their collaborative nature may be particularly important in the design of future models of care delivery, where emphasis is placed on integration of care with a key focus on patient-centred care.

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“…Inguinal hernia repair is a commonly performed general surgical operation, and therefore comprises a significant proportion of surgical workload in many centres [1,3,18-20]. Inguinal hernias are undoubtedly the commonest hernia type.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of inguinal hernias at Bugando Medical Centre in northwestern Tanzania: our experiences in a resource-limited setting

Mabula

Chalya

2012

BMC Res Notes

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BackgroundInguinal hernia repair remains the commonest operation performed by general surgeons all over the world. There is paucity of published data on surgical management of inguinal hernias in our environment. This study is intended to describe our own experiences in the surgical management of inguinal hernias and compare our results with that reported in literature.MethodsA descriptive prospective study was conducted at Bugando Medical Centre in northwestern Tanzania. Ethical approval to conduct the study was obtained from relevant authorities before the commencement of the study. Statistical data analysis was done using SPSS software version 17.0.ResultsA total of 452 patients with inguinal hernias were enrolled in the study. The median age of patients was 36 years (range 3 months to 78 years). Males outnumbered females by a ratio of 36.7:1. This gender deference was statistically significant (P = 0.003). Most patients (44.7%) presented late (more than five years of onset of hernia). Inguinoscrotal hernia (66.8%) was the commonest presentation. At presentation, 208 (46.0%) patients had reducible hernia, 110 (24.3%) had irreducible hernia, 84 (18.6%) and 50(11.1%) patients had obstructed and strangulated hernias respectively. The majority of patients (53.1%) had right sided inguinal hernia with a right-to-left ratio of 2.1: 1. Ninety-two (20.4%) patients had bilateral inguinal hernias. 296 (65.5%) patients had indirect hernia, 102 (22.6%) had direct hernia and 54 (11.9%) had both indirect and direct types (pantaloon hernia). All patients in this study underwent open herniorrhaphy. The majority of patients (61.5%) underwent elective herniorrhaphy under spinal anaesthesia (69.2%). Local anaesthesia was used in only 1.1% of cases. Bowel resection was required in 15.9% of patients. Modified Bassini’s repair (79.9%) was the most common technique of posterior wall repair of the inguinal canal. Lichtenstein mesh repair was used in only one (0.2%) patient. Complication rate was 12.4% and it was significantly higher in emergency herniorrhaphy than in elective herniorrhaphy (P = 0.002). The median length of hospital stay was 8 days and it was significantly longer in patients with advanced age, delayed admission, concomitant medical illness, high ASA class, the need for bowel resection and in those with surgical repair performed under general anesthesia (P < 0.001). Mortality rate was 9.7%. Longer duration of symptoms, late hospitalization, coexisting disease, high ASA class, delayed operation, the need for bowel resection and presence of complications were found to be predictors of mortality (P < 0.001).ConclusionInguinal hernias continue to be a source of morbidity and mortality in our centre. Early presentation and elective repair of inguinal hernias is pivotal in order to eliminate the morbidity and mortality associated with this very common problem.

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Outcome of inguinal hernia repair at two rural hospitals in northern Scotland

Cited by 11 publications

References 8 publications

Incisional hernia after open versus laparoscopic sigmoid resection

Incisional hernia after open versus laparoscopic sigmoid resection

Community Hospitals in Selected High Income Countries: A Scoping Review of Approaches and Models

Surgical management of inguinal hernias at Bugando Medical Centre in northwestern Tanzania: our experiences in a resource-limited setting

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