Paediatric Day Care Inguinal Hernia Surgery in a General Hospital: A Prospective Study on Change in Practice

Authors

  • JN Shah Professor of Surgery, Department of Surgery, Patan Hospital, Patan Academy of Health Science, Kathmandu
  • N Subedi Registrar, Department of Surgery, Patan Hospital, Patan Academy of Health Science, Kathmandu

DOI:

https://doi.org/10.3126/jnps.v30i3.3913

Keywords:

Children, Day case hernia surgery, Paediatric inguinal hernia

Abstract


Introduction: This prospective study was undertaken to observe the prospects of daycare inguinal hernia surgery in general hospital setup in a developing country like Nepal and to assess the advantages, acceptability and safety of this approach.

 Methodology: The study was carried out prospectively for one year from March 2009- Feb 2010. Before surgery, children were examined in surgical referral clinic (SRC). Parents were given verbal and written instructions for pre-operative fasting. Operations were carried out under intravenous anesthesia without intubation by experienced consultant general surgeon or by registrar under supervision. Children were observed in recovery area till conscious. Once awake, the children were handed over to parents for further observation till fully conscious and could tolerate liquid. Oral Paracetamol and homecare instructions were given to parents. Appointment slip was given for follow up visit in SRC within 3-5 days.

Results: There were 90 children, male 81 (89%), age 2 months to 13 years. Right inguinal hernias were 62 (70%). There were no major complications, mortality or readmission. Saving in terms of less disruption of routine work at home and office was more appreciated by parents.

Conclusion: We conclude that day care inguinal hernia surgery in children in our setup is safe, economic well accepted by child and parent's both.

Key words: Children; Day case hernia surgery; Paediatric inguinal hernia

DOI: 10.3126/jnps.v30i3.3913

J Nep Paedtr Soc 2010;30(3):128-131

Downloads

Download data is not yet available.
Abstract
779
PDF
548

Downloads

How to Cite

Shah, J., & Subedi, N. (2010). Paediatric Day Care Inguinal Hernia Surgery in a General Hospital: A Prospective Study on Change in Practice. Journal of Nepal Paediatric Society, 30(3), 128–131. https://doi.org/10.3126/jnps.v30i3.3913

Issue

Vol. 30 No. 3 (2010)

Section

Original Articles

License

Authors who publish with this journal agree to the following terms:

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).