Routine Vs Day-Care Surgery in Case of Unilateral Inguinal Hernia in Public Hospital Setting
Kirkuk Journal of Medical Sciences,
2018, Volume 6, Issue 1, Pages 26-33
AbstractBackground: Day-Care Surgery is defined as planned investigations or procedures on patients who are admitted and discharged home on the day of their surgery. While Routine Care Surgery is any surgery where the patient needs to remain overnight or longer after the surgery is completed, for care or observation. Patients and Methods: In this prospective and observational study on 200 patients, 100 day-care & 100 routine-care patients who underwent treatment of unilateral inguinal hernia at Kirkuk General and Azadi Teaching Hospitals. Aims of the study: We aim to study and compare the immediate and long-term postoperative complications and patients‘ satisfaction between the two procedures (day-care and routine-care procedures) and to assess the feasibility of day-care surgeries in governmental institutes. Results: In this study, 4 out of 100 (4%) day-care surgery patients had to be kept for more than 23 hours. But only 2 (2%) patients were readmitted. The immediate post-operative and at the end of 7th post-operative day complications were in fact lower than routine-care surgery. Majority of patients (94%) were satisfied from the surgery and preferred day-care surgery to routine-care. Also, the success rate, complication rate and patient satisfaction were comparable with specialized day surgical unit treating for inguinal hernia. Conclusion: From our study, we 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.
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