• Users Online: 571
  • Print this page
  • Email this page
ORIGINAL ARTICLES
Year : 2021  |  Volume : 4  |  Issue : 4  |  Page : 218-223

Twenty-year retrospective audit of inguinal herniorrhaphy at the Victoria Hospital in Prince Albert, Northern Saskatchewan


Department of General Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

Correspondence Address:
Prof. Yagan Pillay
Department of General Surgery, University of Saskatchewan, Health Sciences Building, 107 Wiggins Rd B419, Saskatoon, Saskatchewan S7N 0W8.
Canada
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJAWhs.ijawhs_70_21

Get Permissions

AIM: To perform a retrospective clinical audit of the long-term effects of inguinal herniorrhaphy at the Victoria hospital in Prince Albert, Saskatchewan. Our hope is that this will form a template for a possible hernia registry in Saskatchewan, Canada. PATIENTS AND METHODS: A telephonic audit was carried out for all hernia surgeries performed in the year 2000 at the hospital. Demographics such as age and sex as well as the type of surgery and the mesh used were recorded. Chronic complications were also recorded. The surgical questionnaire was adapted from an established short quality-of-life questionnaire (Qol), the EuroQol questionnaire. We then performed a chart audit to identify basic information including the surgical approach and any intraoperative complications. RESULTS: Overall, 119 herniorrhaphies were performed at the Victoria hospital in 2000; 18% of patients (21/119) responded to the telephonic survey. There was a 24% complication rate.All cases of hernial recurrence arose from an original open herniorrhaphy technique.Overall, 22% of patients (27/119) had demised since the surgery; five patients remained incarcerated; and six had dementia and could not respond to the survey.The chronic inguinodynia in four patients was managed with analgesia and non-steroidal anti-inflammatories (NSAIDs). There was no need for chemical or surgical nerve ablation procedures. CONCLUSION: Long-term clinical audits in surgery remain sparse. There remains a paucity of data for studies that are more than a decade long. This 20-year audit of inguinal herniorrhaphy is the first of its kind in Saskatchewan, Canada. We propose its use to establish a hernia database that will record chronic complications as well as surgical outcomes.This will hopefully facilitate an improved surgical technique and a universally established method of defining and documenting complications such as chronic inguinodynia and hernia recurrence. Hernia databases help to remove patient subjectivity as well as observer bias and to provide an objective scientific overview of outcomes.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed186    
    Printed22    
    Emailed0    
    PDF Downloaded16    
    Comments [Add]    

Recommend this journal