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Day case inguinal hernia surgery in Nigerian children: prospective study
U E Usang1, O A Sowande, O Adejuyigbe
1Paediatric Surgery Unit, Department of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria.
African Journal of Paediatric Surgery : AJPS
|October 28, 2009
Summary
Day case inguinal hernia surgery in children is safe and effective, with low morbidity and no readmissions. This approach can reduce waiting times and prevent complications like obstruction in pediatric patients.
Area of Science:
- Pediatric Surgery
- Surgical Outcomes
- Healthcare Management
Background:
- Increasing global trend in pediatric day case surgery.
- Limited regional data on day case surgery across surgical sub-specialties.
- Need to document experience in developing economies.
Purpose of the Study:
- To document the experience with day case inguinal hernia surgery in children within a developing economy.
- To evaluate the safety and efficacy of this surgical approach.
Main Methods:
- Prospective study design.
- Inclusion of uncomplicated inguinal hernias treated as day cases.
- Data collection and analysis from April to December 2004 at OAUTHC.
Main Results:
- 88 pediatric patients (M:F = 16.6:1) were recruited.
- 5 cases (4.8%) of wound infection observed; overall morbidity was slight.
- No patients required hospital readmission post-surgery.
Conclusions:
- Day case inguinal hernia surgery is a safe and well-accepted procedure for pediatric patients.
- Adoption of day case surgery can reduce operation list queues and prevent hernia obstruction.
- Highlights the feasibility and benefits in resource-limited settings.
