K Dieterich1, J Eichhorn. 1. Chirurgische Gemeinschaftspraxis und Praxisklinik, Siemensstrasse 6, 71254 Ditzingen, Germany. info@chirurgie-ditzingen.de
Abstract
UNLABELLED: The Lichtenstein repair method is an excellent and simple technique for hernia repair performed as a day-case procedure. A consecutive series of 500 ambulatory groin hernia repairs from 1994 to 2002 was studied. The mean follow-up for 84.6% of the patients was 2 years (range 6-86 months). There were no severe complications. The rate of clinically important wound haematomas (n=6, 1.2%) was low, as well as the numbers of testicular atrophies (n=1, 0.2%) and deep wound infection (n=1, 0.2%). We saw no thrombosis. There were 15 recurrences (3.5%). Ninety-six per cent of the patients were satisfied with the outpatient operation. In day-case surgery, conditions for the patients' treatment at home should be checked carefully by surgeons before the operation. CONCLUSION: Our results suggest that the number of day-case hernia repairs can be increased without severe complications. The procedure can be performed on an outpatient basis without problems under general anaesthesia. Increasing day-case surgery could significantly reduce the costs of health care.
UNLABELLED: The Lichtenstein repair method is an excellent and simple technique for hernia repair performed as a day-case procedure. A consecutive series of 500 ambulatory groin hernia repairs from 1994 to 2002 was studied. The mean follow-up for 84.6% of the patients was 2 years (range 6-86 months). There were no severe complications. The rate of clinically important wound haematomas (n=6, 1.2%) was low, as well as the numbers of testicular atrophies (n=1, 0.2%) and deep wound infection (n=1, 0.2%). We saw no thrombosis. There were 15 recurrences (3.5%). Ninety-six per cent of the patients were satisfied with the outpatient operation. In day-case surgery, conditions for the patients' treatment at home should be checked carefully by surgeons before the operation. CONCLUSION: Our results suggest that the number of day-case hernia repairs can be increased without severe complications. The procedure can be performed on an outpatient basis without problems under general anaesthesia. Increasing day-case surgery could significantly reduce the costs of health care.
Authors: Finn Heidemann Andersen; Morten Bay-Nielsen; Anders Bak-Christensen; Kaare Nielsen; Jan Reinhold Struckmann; Henrik Kehlet Journal: Ugeskr Laeger Date: 2003-06-02
Authors: M Bay-Nielsen; H Kehlet; L Strand; J Malmstrøm; F H Andersen; P Wara; P Juul; T Callesen Journal: Lancet Date: 2001-10-06 Impact factor: 79.321