Decurtins M, Buchmann P
Chirurg. 1984 Sep;55(9):589-92.
The early postoperative results of 1273 operations for inguinal hernia are reported. In addition, the late outcome of 688 operations of patients answering the questionnaires was analysed according to the surgeons stage of training. In group 1, the operator was in the first two years of his training, in group 2, he was older but had not yet achieved his title as a specialist for surgery and in group 3, all are fully trained surgeons. The postoperative complications are distributed equally among the 3 groups. Wound infection was leading in 37% to recurrent inguinal hernia. The overall figure of recurrent inguinal hernia was highest in group 2 with 7.8% (14 out of 179), followed by group 1 with 5.5% (22 out of 399) and group 3 with 4.5% (5 out of 110). Early post-operative recurrence was again highest in group 2 with 7 out of 14 compared with 9 out of 22 in group 1 and 2 out of 5 in group 3. We conclude from these results that inguinal hernia may be performed by a very young surgeon in training; supervision in those who are over the first steps, but have not completed their training has to be intensified and that asepsis has to be observed very carefully.
报告了1273例腹股沟疝手术的早期术后结果。此外，根据外科医生的培训阶段，对688例回复问卷的患者的手术后期结果进行了分析。在第1组中，手术医生处于培训的前两年；在第2组中，医生年龄较大但尚未获得外科专家头衔；在第3组中，所有医生均为训练有素的外科医生。术后并发症在这3组中分布均匀。伤口感染导致37%的腹股沟疝复发。腹股沟疝复发的总体比例在第2组中最高，为7.8%（179例中有14例），其次是第1组，为5.5%（399例中有22例），第3组为4.5%（110例中有5例）。术后早期复发率在第2组中再次最高，14例中有7例，而第1组为22例中有9例，第3组为5例中有2例。从这些结果我们得出结论，腹股沟疝手术可由一名非常年轻的实习外科医生进行；对于那些已度过初期但尚未完成培训的医生，必须加强监督，并且必须非常严格地遵守无菌操作。
