L C G Bragais1, J M V Faylona2. 1. Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Philippine General Hospital, Taft Avenue, Ermita, 1000, Manila, Philippines. carmela.bragais.md@gmail.com. 2. Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Philippine General Hospital, Taft Avenue, Ermita, 1000, Manila, Philippines.
Abstract
PURPOSE: This study aims to determine overall compliance of the Department of Surgery in a tertiary government training hospital to the latest International Guidelines for Groin Hernia Management from July to December 2018. METHODS: Medical records of operations involving inguinal hernia in adults done from July to December 2018 (N = 150) were reviewed and compliance rates were determined based on selected ten parameters. RESULTS: Overall, the Department of Surgery was poorly compliant to the guidelines. All cases were only partially compliant. The highest over-all compliance was noted on the use of clinical examination alone in diagnosing primary inguinal hernias (N = 147, 100%, recurrent hernias excluded), use of appropriate technique (N = 147, 98%), and use of preoperative antibiotics (N = 144, 96%). Poor compliance was noted on round ligament preservation in females (0%), use of intraoperative local anesthesia (N = 5, 3%), and the use of European Hernia Society Classification in the final diagnosis (N = 42, 28%). CONCLUSION: Strict education, implementation, and regular monitoring of these guidelines among both the resident and consultant staff are needed to ensure better compliance to the guidelines.
PURPOSE: This study aims to determine overall compliance of the Department of Surgery in a tertiary government training hospital to the latest International Guidelines for Groin Hernia Management from July to December 2018. METHODS: Medical records of operations involving inguinal hernia in adults done from July to December 2018 (N = 150) were reviewed and compliance rates were determined based on selected ten parameters. RESULTS: Overall, the Department of Surgery was poorly compliant to the guidelines. All cases were only partially compliant. The highest over-all compliance was noted on the use of clinical examination alone in diagnosing primary inguinal hernias (N = 147, 100%, recurrent hernias excluded), use of appropriate technique (N = 147, 98%), and use of preoperative antibiotics (N = 144, 96%). Poor compliance was noted on round ligament preservation in females (0%), use of intraoperative local anesthesia (N = 5, 3%), and the use of European Hernia Society Classification in the final diagnosis (N = 42, 28%). CONCLUSION: Strict education, implementation, and regular monitoring of these guidelines among both the resident and consultant staff are needed to ensure better compliance to the guidelines.
Entities:
Keywords:
Adherence; Guidelines; Inguinal hernia; Training hospital