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Postoperative thromboembolism after day-case herniorrhaphy

C Riber1, N Alstrup, T Nymann

  • 1Department of Surgical Gastroenterology, University of Copenhagen, Denmark.

The British Journal of Surgery
|March 1, 1996
PubMed
Summary

Routine thromboembolism prophylaxis is not necessary for day-case hernia surgery. A study of 2281 patients found only one case of pulmonary embolism, indicating a low risk for this patient group.

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Area of Science:

  • Surgery
  • Vascular Medicine
  • Public Health

Background:

  • Thromboembolism is a significant surgical complication.
  • Prophylaxis is standard practice for many surgical procedures.
  • The risk of thromboembolism in day-case surgery requires specific investigation.

Purpose of the Study:

  • To assess the incidence of thromboembolism after day-case inguinal hernia repair.
  • To determine if routine thromboembolism prophylaxis is warranted for this specific surgical approach.

Main Methods:

  • A retrospective study of 2281 patients undergoing day-case inguinal hernia repair between 1982 and 1992.
  • Hospital admissions for thromboembolism within 30 days of surgery were identified using the Danish National In-Patient Register.

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Main Results:

  • One patient (0.04%) developed non-fatal pulmonary embolism within 30 days of surgery.
  • No other hospital admissions for venous thromboembolism were recorded in the study cohort.

Conclusions:

  • The incidence of thromboembolism following day-case inguinal hernia repair is very low.
  • Routine thromboembolism prophylaxis is not indicated for patients undergoing day-case hernia surgery.