Authors: Putnis, S.; Merville-Tugg, R.; Atkinson, S.

Source: Annals of The Royal College of Surgeons of England, Volume 86, Number 6, November 2004 , pp. 425-427(3)

Publisher: The Royal College of Surgeons of England

Abstract:

Background : Patients with unilateral inguinal hernias are conventionally seen at an out-patient appointment before being placed on a waiting list for surgery. Many patients are also required to attend a pre-assessment clinic prior to admission.

Aim : To establish whether patients fit for day surgery inguinal hernia repair could be assessed and treated at a single hospital appointment.

Patients and Methods : Patients referred with unilateral inguinal hernias were sent an information sheet and health questionnaire by post. General practitioners were asked to help patients complete the medical details. Patients suitable for day surgery were sent a single appointment for assessment and treatment by an open, tension-free Lichtenstein mesh repair.

Results : Ninety-eight patients were sent an appointment for 'one-stop' inguinal hernia treatment. Ninety-two patients (93.5%) underwent inguinal hernia repair and were discharged on the same day without complication.

Conclusions : Patients with unilateral primary inguinal hernias who are under 70 years old and ASA grade I or II can been seen, assessed and treated on the same day. 'One-stop' inguinal hernia surgery reduces the number of patient visits to the hospital and could be expanded to incorporate many more hernia repairs and other day case procedures.

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Keywords: INGUINAL HERNIA; OPEN MESH REPAIR; DAY SURGERY; ONE-STOP

Document Type: Research article

DOI: http://dx.doi.org/10.1308/147870804506

Affiliations: 1: Department of General Surgery, St Thomas' Hospital, London, UK

Publication date: 2004-11-01

More about this publication?

• The Annals of The Royal College of Surgeons of England is the official journal of the College and is published eight times a year in January, March, April, May, July, September, October and November. The main aim of the journal is to publish high quality, peer-reviewed papers that relate to all branches of surgery.
  
  The Annals also includes letters and comments, a regular technical section, NICE news, controversial topics, CORESS feedback, book reviews and the best trainee presentations from England and Wales. The editorial board is composed of members of the College Council and experts from across the surgical specialties.
  
  Archive issues of the Annals of The Royal College of Surgeons of England are available via the PubMed Central database
  
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