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Hernia clinic in a teaching institution: creation and development
1Department of Surgery, Winthrop University Hospital, Mineola, New York, USA. maxdey@optonline.net
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|August 17, 2001
Summary
Establishing a dedicated hernia clinic significantly improved surgical outcomes for external abdominal wall hernias, reducing recurrence, infection, and complications. This specialized approach enhanced patient results and mirrored expert benchmarks.
Area of Science:
- Surgical outcomes research
- Hernia repair specialization
Background:
- External abdominal wall hernias require specialized surgical management.
- Previous institutional results for herniorrhaphy showed room for improvement.
Purpose of the Study:
- To evaluate the impact of a dedicated hernia clinic on surgical outcomes.
- To compare results of herniorrhaphy managed in a specialized clinic versus general surgery.
Main Methods:
- A prospective study from 1980-1988 in a teaching institution.
- Patients with external abdominal wall hernias were treated under protocol in a dedicated hernia clinic.
- Outcomes including recurrence, infection, and ischemia were tracked.
Main Results:
- Significantly lower rates of recurrence, infection, and testicular ischemia were observed.
- A significant decrease in incarceration/strangulation was noted in patients over 65.
- Institutional results improved to match those of recognized herniorrhaphists.
Conclusions:
- A dedicated hernia clinic demonstrably improves outcomes for external abdominal wall herniorrhaphy.
- Specialized care can reduce complications and enhance patient recovery.
- The hernia clinic model offers advantages for patients and surgical trainees.
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