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Using an E-Health Application for Post-operative Monitoring After Inguinal Hernia Repair: A Feasibility Study.

J L Faessen¹, R van Vugt², R Veldhuizen²

¹Department of Surgery, Zuyderland Medical Center, Dr. H. van der Hoffplein 1, Sittard-Geleen, 6162 BG, Heerlen, The Netherlands. jelle.faessen@gmail.nl.

World Journal of Surgery

|May 23, 2022

Summary

E-Health applications show promise for monitoring patients after inguinal hernia repair, accurately identifying complications. While currently more expensive, patient satisfaction is high, suggesting future feasibility with improvements.

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Area of Science:

Surgical Innovation
Digital Health
Patient Monitoring

Background:

E-Health is established in various specialties, enhancing patient-centered care.
The COVID-19 pandemic accelerated demand for remote healthcare solutions.
Investigating e-Health feasibility for inguinal hernia repair is crucial due to its high prevalence.

Purpose of the Study:

To assess the accuracy of an e-Health application in detecting deviations in post-operative courses after inguinal hernia repair.
To evaluate patient perspectives on using e-Health for post-operative follow-up.
To analyze the cost-effectiveness of e-Health follow-up compared to standard care.

Main Methods:

A study involving 60 patients undergoing inguinal hernia repair utilized an e-Health application for post-operative monitoring.
Primary objective: evaluate the accuracy of the e-Health system's alerts for deviating post-operative courses.
Secondary objectives: gather patient feedback and conduct a cost analysis.

Main Results:

The e-Health application accurately reflected standard follow-up in 93.2% of patients with no reported deviations.
Among patients reporting deviations, 25% had actual complications.
Hypothetical e-Health follow-up (€59.5/patient) was more costly than standard care (€28.2/patient), but patient satisfaction was high (4.2/5).

Conclusions:

E-Health applications can effectively identify patients needing further assessment, demonstrating high patient willingness to use them.
Despite higher initial costs, e-Health follow-up shows potential for safety and feasibility in general surgery.
Further research is recommended to refine e-Health tools for broader adoption in surgical care.