Short-Stay Surgery for Inguinal Hernia

Devlin, Hugh; Müller, Dolores T.; Russell, Ian; Sahay, Anubha; Tiwari, P.N.

doi:10.1016/s0140-6736(77)92791-x

Cited by 31 publications

(4 citation statements)

References 6 publications

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“…It may well be that the use of a monfilament suture such as stainless steel wire is important, and the low I-year recurrence rate using Marsden's (1958) definition obtained in this series may be due, in part, to the stipulation that polypropylene or nylon must be used for the repair. It should be noted that the use of monofilament sutures appears in this series and in that of Devlin et al (1977) to be associated with a reduction or disappearance in the occurrence of a sinus. Davies (1960) for recurrence but were asymptomatic and are still under review.…”

Section: Discussionmentioning

confidence: 51%

“…Using these estimates and Marsden's (1958) restricted definition of a recurrence, the worst estimate of the ultimate recurrence rate is 2.8 per cent and the best estimate is 1.9 per cent. Table IIZ shows the recurrence rates from different series, and it can be seen that Devlin et al (1977) had a 6-year recurrence rate of 0.8 per cent when stainless steel wire was used for the repair compared with an 8.1 per cent recurrence rate when a polyester-based material was used. However, in contrast to the present study their follow-up was incomplete.…”

Section: Discussionmentioning

confidence: 99%

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The clinical and economic effects of early return to work after elective inguinal hernia repair

Bourke

Taylor

1978

British Journal of Surgery

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Since 1 January 1976 male patients of four consultant surgeons undergoing elective repair of a unilateral inguinal hernia have been included in a trial to see if 'early' return to work or normal activity is associated with an increased recurrence rate and also to investigate any economic consequences. To date 295 patients have been entered into the trial and the first 150 have been reviewed at 1 year. There was a complete follow-up at 1 year. There was 1 recurrence (0.7 per cent) at 1 year, and this had occurred by the time the patient came to the clinic to be included in the trial. Patients supervised by their general practitioner were off work for 78.5 days, while those advised to return to work early were off work for 52.1 days. This difference of 25.4 days is significant at the 0.1 per cent level. Loss of earnings while off work was reported by 36.7 per cent of patients, and the average sum lost was 19.86 per week. Thus, patients lost 72.06 on average. If patients went back to work at 52 days instead of at 78 days, the benefit to the economy would be of the order of 7 m., and this 'early' return to work is not associated with an increase in the recurrence rate at 1 year.

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 99%

The clinical and economic effects of early return to work after elective inguinal hernia repair

Bourke

Taylor

1978

British Journal of Surgery

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“…In childhood the only risk factor is the standing position and the posterior development of trasversalis fascia will reinforce the abdominal wall (3,8,12,15,18,23).…”

Section: Discussionmentioning

confidence: 99%

Inguinal hernia and certain risk factors

et al. 1992

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There are several studies on inguinal hernias that give some clues about the association between this type of hernia and certain risk factors. This association was suspected long ago but had not been demonstrated. The present study tries to correlate the origin of inguinal hernias and the physical effort of the subjects in accordance with their work activity. The results of this study show that physical effort, as a risk factor, is closely related to the appearance of inguinal hernias. A person whose work involves lifting or other strenuous exertion has a higher risk than those whose jobs are less strenuous (p less than 0.05). This conclusion was reached after taking into account not only the weight lifted but also the number of years in this activity.

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“…Among the best results are the long term recurrence rates of 0.4 per cent reported from the Shouldice Clinic (Iles, 1964;Glassow, 1976). Devlin et al (1977) have reported a recurrence rate of 0.8 per cent on 6-year follow-up after day care or 48-hour stay.…”

Section: Postoperative Supervisionmentioning

confidence: 98%

Day care and short stay surgery for hernia

Ruckley

1978

British Journal of Surgery

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The duration of postoperative stay has been falling in recent years as more conditions are considered suitable for outpatient care. The introduction of short stay surgery not only relieves hospital waiting lists but also represents an economic advantage and has certain social benefits for the patient. The treatment of more patients as day cases reallocates the workload, putting increased responsibility on to outpatient clinics and general practitioner and community services. It also demands careful consideration of in-hospital operative and anaesthetic techniques to speed recovery and minimize complications.

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Short-Stay Surgery for Inguinal Hernia

Cited by 31 publications

References 6 publications

The clinical and economic effects of early return to work after elective inguinal hernia repair

The clinical and economic effects of early return to work after elective inguinal hernia repair

Inguinal hernia and certain risk factors

Day care and short stay surgery for hernia

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