Bech K, Callesen T, Nielsen R, Roikjaer O, Andersen J, Hesselfeldt P, Kehlet H
H:S Hvidovre Hospital, kirurgisk gastroenterologisk afdeling.
Ugeskr Laeger. 1998 Feb 9;160(7):1014-8.
The results of a reorganization of surgery for inguinal hernias within a department of surgical gastroenterology were assessed concerning staff simplifications, feasibility, patient satisfaction, safety, complications and resources. Five hundred consecutive, elective, open operations for unilateral reducible inguinal hernias were performed in 466 patients under local anaesthesia in an ambulatory setup. One hundred and fourteen of the operations were for a recurrent hernia. The median age was 60 years (44-74 years as 25% and 75% quartiles). Two of the operations were converted to general anaesthesia. The patients were discharged 85 min (median) post-operatively, but 12 patients were not discharged on the same day. Bleeding or wound infections in need of treatment were seen postoperatively in 1.6% and 1.6%, respectively. All patients were given a postoperative questionnaires with a response rate of 95%, 89% of the respondents were satisfied with the whole procedure, 11% were dissatisfied. A reorganization of surgery for inguinal hernias to a standardized ambulatory setup induced staff simplifications and saved resources with a preserved high patient satisfaction, safety and a low complication rate.
对外科胃肠病学部门腹股沟疝手术的重组结果，从人员精简、可行性、患者满意度、安全性、并发症及资源方面进行了评估。在门诊环境下，对466例患者进行了500例连续、择期、单侧可复性腹股沟疝的开放手术，其中114例为复发性疝手术。年龄中位数为60岁（四分位数间距为44 - 74岁）。2例手术转为全身麻醉。患者术后中位数85分钟出院，但有12例患者未在同一天出院。术后分别有1.6%的患者出现需要治疗的出血或伤口感染。所有患者均收到术后问卷，回复率为95%，89%的受访者对整个手术过程满意，11%不满意。将腹股沟疝手术重组为标准化门诊模式可实现人员精简并节省资源，同时保持较高的患者满意度、安全性及较低的并发症发生率。
