A study of uncomplicated inguinal hernia repair as a day care in government hospital setup

Author: 
Preetham Raj G., Shridhar M and Yogesh kadam

Day-care surgery is defined as planned investigations or procedures on patients who are admitted and discharged home on the day of their surgery. In this prospective and observational study on 50 patients who underwent treatment of uncomplicated inguinal hernia at ESIC medical college, Bangalore, Karnataka. We aim to study the immediate and long-term post-operative complication and patients’ satisfaction and to assess the feasibility of day-care surgeries in government institute. Inguinal hernia is one of the commonest surgical operations performed with the introduction of Day Care Surgery for Inguinal Hernia repair. It reduces the cost and duration of hospital stay. It is being one of the preferred methods of inguinal repair now. In the study, 2 out of 50 (4%) day-care surgery patients had to be kept for more than 23 hours. Only 1 out of 50 patients (2%) was readmitted. The readmission rate of 2% is at par with 2-3% recommended by Royal College of Surgeons. The immediate post-operative and at the end of 7th post-operative day complications were in fact lower. Majority of patients (94%) were satisfied from the surgery and preferred day-care surgery, also the success rate, complication rate and patient satisfaction were comparable with specialized day surgical unit treating for inguinal hernia. From our study, we may conclude that even with the shortcomings of the public health care setup of developing nation, the day-care hernia repair can be done without any major immediate or long term complication as compared to routine-care surgery.

Page: 
3038-3042
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DOI: 
http://dx.doi.org/10.24327/23956429.ijcmpr20180393
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