DefinePK

Abstract

Abstract


Management of 1 00 patients with inguinal hernia is presented. Lack of an effective filter clinic resulted in admission of patients above the handling capacity of the unit, some of whom were unfit for surgery. As a result pre­operative stay was unduly prolonged (mean:5.5 days; range: 1.37 days). Consultants performed 3%, Senior registrars 6.3%, House surgeons 18% and Junior registrars 73% of operations. There was considerable variation in the operative tech­niques and anaesthesia employed. The efficacy of repair could not be monitored as there was no organised system of follow up.
The mean post operative stay was 7.5 days (range: 1-32 days), patients being kept in hospital until sutures were removed. Shorter stays cannot be enforced until expanded health care system is introduced.