A prospective study of 100 cases of day care surgery in inguinal hernia
Keywords:Hernia, Hospital stay, Pain, Satisfaction
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.
Goulbourne IA, Ruckley CV. Operations for hernia and varicose veins in a day-bed unit. Br Med J. 1979; 2(6192):712-4.
Ghosh S, Sallam S. Patient satisfaction and postoperative demands on hospital and community services after day surgery. Br J Surg. 1994;81(11): 1635-8.
Pineault R, Contandriopoulos AP, Valois M, Bastian ML, Lance JM. Randomized clinical trial of one-day surgery. Patient satisfaction, clinical outcomes, and costs. Med Care. 1985;23(2):171-82.
Adler MW, Waller JJ, Creese A, Thorne SC. Randomised controlled trial of early discharge for inguinal hernia and varicose veins. J Epidemiol Community Health. 1978;32(2):136-42.
Garraway WM, Cuthbertson C, Fenwick N, Ruckley CV, Prescott RJ. Consumer acceptability of day care after operations for hernia or varicose veins. J Epidemiol Community Health. 1978;32(3):219-21.
Prescott RJ, Cutherbertson C, Fenwick N, Garraway WM, Ruckley CV. Economic aspects of day care after operations for hernia or varicose veins. J Epidemiol Community Health. 1978;32(3):222-5.
Ruckley CV, Cuthbertson C, Fenwick N, Prescott RJ, Garraway WM. Day care after operations for hernia or varicose veins: a controlled trial. Br J Surg. 1978;65(7):456-9.
Solodkyy A, Feretis M, Fedotovs A, Di Franco F, Gergely S, Harris AM. Elective "true day case" Laparoscopic inguinal hernia repair in a district general hospital: lessons learned from 1000 Consecutive Cases. Minim Invasive Surg. 2018; 2018:7123754.
Osborne GA Rudkin GE. Outcome after day care surgery in a major teaching hospital. Anaesthes Intens Care. 1893;21(6):822-7
White PF. Textbook of ambulatory anaesthesia and surgery. London: WB Saunders; 1997.
Paul F, Kurzer M, Kark A, Hussain ST. Day-case inguinal hernia repair in the elderly: a surgical priority. Hernia. 2009;13(2):131-6.
Protocol of day care centre 2003 by Indian association of day care surgery. Available at: https://www.iaas-med.com/files/Journal/March10/ ROW.pdf. Accessed on 20 May 2021.
Bailey L. Short practice of surgery. 27th ed. London: Arnold Press; 2018:21;48.
Aylin P, Williams S, Jarman B, Bottle A. Trends in day surgery rates. Br Med J. 2005:331;803.
Ojo EO. Day case surgery and developing countries: a review. Niger J Clin Pract. 2010;13(4):459-66.
de la Hunt MN. Paediatric day care surgery: a hidden burden for primary care? Ann R Coll Surg Engl. 1999;81(3):179-82.
Fortier J, Chung F, Su J. Unanticipated admission after ambulatory surgery--a prospective study. Can J Anaesth. 1998;45(7):612-9.
Mezei G, Chung F. Return hospital visits and hospital readmissions after ambulatory surgery. Ann Surg. 1999;230(5):721-7.
Row T, Abdulkareem IH. Day case surgery in Nigeria. Niger J Clin Pract. 2011;14(4):383-9.
Chung F, Su J. Unanticipated admission after ambulatory surgery--a prospective study. Can J Anaesth. 1998;45(7):612-9.
Wantz GE. Abdominal wall hernias In: Seymour L. Schwartz Principles of surgery. 7th ed. USA: McGraw Hill; 1999:1585-611.
Russell RCG, Williams NS, Bulstrode CIK. Hemi, umbilicus and abdominal wall, short practice of surgery. 27th ed. London: Arnold Press; 2018:1029-30.
Read RC. Anatomy of abdominal herniation: the parietoperitoneal spaces. In: Nyhus LM, Baker RJ, Fischer JE. Mastery of surgery. 3rd ed. London: Little Brown and company; 1997:1795-806.
Gillian GK. An algorithm for the treatment of chronic pain after inguinal herniorrhaphy. In: Nyhus LM, Condon RE, eds. 5th ed. Philadelphia: JB Lippincott; 2000:307-16.
Chung F. Return hospital visits and hospital readmissions after ambulatory surgery. Ann Surg. 1999;230(5):721-7.