Value and patient appreciation of follow-up after endoscopic totally extraperitoneal (TEP) inguinal hernia repair
Autor: | E. J. M. M. Verleisdonk, G. J. Clevers, W. J. Bakker, C V van Hessen, J. P. J. Burgmans |
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Přispěvatelé: | Dermatology |
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Registration Hernia Inguinal 030230 surgery 03 medical and health sciences 0302 clinical medicine Patient satisfaction Outpatient clinic Medicine Humans Hernia Prospective Studies Prospective cohort study Herniorrhaphy business.industry Follow-up Inguinal hernia Endoscopy Inguinal hernia surgery Middle Aged Surgical Mesh medicine.disease Surgery TEP 030220 oncology & carcinogenesis Female business Totally extraperitoneal Abdominal surgery Follow-Up Studies |
Zdroj: | Hernia, 24(5), 1033-1040. Springer Paris |
ISSN: | 1265-4906 |
Popis: | Purpose: There is some consensus on inguinal hernia surgery follow-up in research settings. However, consensus on regular follow-up is lacking. Therefore, patients and surgeons are unnecessarily burdened and not cost-efficient. Moreover, the purpose of follow-up is barely questioned. This study aims to evaluate follow-up after inguinal hernia repair and determine patient satisfaction. Methods: This prospective cohort study was executed in a high-volume specialized hernia clinic. All totally extraperitoneal (TEP) repair patients between July and October 2016 were included. Telephone follow-up was performed at 1 day, 6 weeks and 1 year postoperatively. One year postoperatively it was assessed whether patients visited other healthcare organizations, had remaining inguinal complaints, a Post-INguinal-repair-Questionnaire by telephone (PINQ-PHONE) was executed, and appreciation with follow-up was determined. Results: Respectively, 6 weeks and 1 year postoperatively, 138 (79.3%) and 130 (74.7%) of 174 included patients were reached. One year postoperatively 15 patients (11.5%) had remaining inguinal complaints, of which only four patients (3.1%) had not already reported their symptoms. Nineteen patients (14.6%) presented with self-reported complaints between 6 weeks and 1 year, and no patients went to other hospitals. Respectively, 107 (82.3%), 61 (46.9%) and 117 (90.0%) patients considered follow-up useful at 6 weeks, 1 year and in general. One hundred nineteen patients (91.5%) preferred telephone follow-up to outpatient clinic appointments. Conclusion: TEP patients value a telephone follow-up time-point, however, long-term follow-up is not considered useful. Patients report postoperative complaints themselves, therefore performing follow-up serves no clinical purpose. The purpose of follow-up is patient satisfaction and registration for quality objectives. |
Databáze: | OpenAIRE |
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