原发性腹股沟疝修补术：审计如何改变外科医生的做法。
Primary inguinal hernia repair: how audit changed a surgeon's practice.
作者信息
Drew P J, Hartley J E, Qureshi A, Lee P W
机构信息
Academic Surgical Unit, University of Hull Postgraduate Medical School, Castle Hill Hospital, Cottingham, North Humberside, UK.
出版信息
J R Soc Med. 1998 Nov;91(11):583-4. doi: 10.1177/014107689809101109.
Over 10 years one senior consultant surgeon performed 114 standard plication darn herniorraphies on 92 patients with primary inguinal hernias. These patients were contacted and were reviewed if there was any suspicion of recurrence. Four recurrences were detected, giving an overall recurrence rate of about 3.5%. According to actuarial life-table analysis the risks of recurrence at 1 year, 5 years and 10 years were 0.94%, 3.02% and 9%. This level of recurrence is unacceptable in modern practice and, as a result of the audit, the surgeon changed his technique of primary inguinal hernia repair.
在10多年的时间里，一位资深外科顾问医生为92例原发性腹股沟疝患者进行了114例标准褶叠式补片修补术。对这些患者进行了随访，如有任何复发疑虑则进行复查。发现4例复发，总体复发率约为3.5%。根据精算生命表分析，1年、5年和10年的复发风险分别为0.94%、3.02%和9%。在现代临床实践中，这样的复发率是不可接受的，基于此次审计结果，这位外科医生改变了他原发性腹股沟疝修补术的技术。
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