Infection and Recurrence Rates in Rural Inguinal Hernia Repair

Autores/as

  • Brooke Fowler University of Kansas School of Medicine - Salina
  • Dorothy Hughes Department of Population Health, University of Kansas School of Medicine-Salina, Salina, KS https://orcid.org/0000-0002-8952-450X

DOI:

https://doi.org/10.17161/kjm.vol16.18552

Palabras clave:

inguinal hernia repair, general surgery, rural surgery, Kansas, community hospital, infection rates, recurrence rates

Resumen

Introduction. Inguinal hernia repair (IHR) is a common procedure performed by general surgeons in rural community hospitals. Infection and recurrence rates for three types of IHR over two years at a rural Kansas hospital were analyzed. Previous research has shown outcomes regarding pain at six weeks were typically no different, and neither were long-term results, between open and laparoscopic techniques. However, there were fewer data showing the outcomes of these three hernia repair approaches in rural settings.

Methods. This was a retrospective, cross-sectional study using data collected from the electronic medical record (EMR) of a small hospital in central Kansas. Data from adult patients who had undergone IHRs over a two-year period (2018-2019) were deidentified and described using frequencies and percentages. This study used multi-variate logistic regression to examine the association of patient, surgeon, and surgical procedure characteristics on the occurrence of post-operative complications.

Results. Of the patients who received IHR, 46 were male and 5 were female. Mean age was 66 years, with a minimum of 34 and maximum ≥ 89 years. There were 14 total post-operative complications; two were superficial infections. There were no recurrences.

Conclusions. The sample size for each procedure type was too small to allow for statistical testing. However, the hospital had no recurrences. Future research should follow-up with this and other rural hospitals and perform a direct comparison of hernia surgery outcomes with those at a larger, more urban hospital, to understand potential differences by hospital size.

Métricas

##plugins.generic.paperbuzz.sourceName.fileDownloads##
178
Mar 16 '23Mar 19 '23Mar 22 '23Mar 25 '23Mar 28 '23Mar 31 '23Apr 01 '23Apr 04 '23Apr 07 '23Apr 10 '23Apr 13 '234.0
|

Descargas

Publicado

2023-03-15

Número

Sección

Original Research

Cómo citar

Fowler, B., & Hughes, D. (2023). Infection and Recurrence Rates in Rural Inguinal Hernia Repair. Kansas Journal of Medicine, 16(1), 65-68. https://doi.org/10.17161/kjm.vol16.18552