Gouws J, Nel D, Bougard H C, Sofianos C, Reimers G B, Rayamajhi S, Folscher D J, de Beer R, Rademan R J, Donkin I E, Swart N, Taran O S, Campbell N C, Kloppers J C
Division of General Surgery, University of Cape Town, Cape Town, South Africa.
Acute Care Surgery Unit, Groote Schuur Hospital, Cape Town, South Africa.
Hernia. 2021 Jun;25(3):781-787. doi: 10.1007/s10029-020-02306-3. Epub 2020 Sep 23.
The purpose of this paper was to introduce a new registry in a developing country by describing the demographics, management and 30-day outcomes of patients undergoing ventral hernia repair in the public and private healthcare sectors of South Africa.
This study was a retrospective review of a prospectively maintained hernia registry from the 1st of February 2019 to 29th of February 2020.
353 ventral hernia repair cases were recorded of which 47% were incisional hernias and the remainder were primary hernias. The median age was 54 years with even distribution of males and females. Half of the patients were obese with a median BMI of 31 kg/m. The private sector performed 190 cases (54%) and the public sector 163 cases (46%). The public sector had more current smokers undergoing elective repairs, 28% vs 15%, p = 0.01 and performed more emergency repair cases, 21% vs 8%, p < 0.01. The majority (89%) of hernias were repaired with mesh and one-third were repaired laparoscopically. 30 day follow up was obtained in 30% of cases, the private sector had better follow up rates (42% vs 14%).
Participation in the HIG (SA) registry was low with poor follow up over the first year. Ongoing prospective data capture on the HIG (SA) hernia registry will continue to provide further insights into hernia repair practices in South Africa.
本文旨在通过描述南非公共和私营医疗部门接受腹疝修补术患者的人口统计学特征、治疗管理及30天预后情况，介绍一个发展中国家的新登记系统。
本研究是对2019年2月1日至2020年2月29日前瞻性维护的疝登记系统进行的回顾性分析。
共记录353例腹疝修补病例，其中47%为切口疝，其余为原发性疝。中位年龄为54岁，男女分布均匀。一半患者肥胖，中位BMI为31kg/m。私营部门进行了190例（54%），公共部门进行了163例（46%）。公共部门接受择期修补的现吸烟者更多，分别为28%和15%，p = 0.01；且进行的急诊修补病例更多，分别为21%和8%，p < 0.01。大多数（89%）疝采用补片修补，三分之一采用腹腔镜修补。30%的病例获得了30天随访，私营部门的随访率更高（42%对14%）。
参与HIG（南非）登记系统的情况较差，第一年随访不佳。对HIG（南非）疝登记系统持续进行前瞻性数据收集，将继续为深入了解南非的疝修补实践提供更多信息。
