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Hernia. 2008 Feb;12(1):79-82. Epub 2007 Oct 24.

Audit of patient experience of day-case inguinal hernia repair.

Author information

1
Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK. usman.jaffer@doctors.org.uk

Abstract

BACKGROUND:

This study was prompted by a complaint from a patient citing he had suffered postoperative pain and scrotal bruising. We audit postoperative pain following inguinal herniorrhaphy and patient understanding of postoperative complications.

METHODS:

A telephone survey was carried out to assess patient experience of day-case inguinal herniorrhaphy (DIH). Having identified that there was some dissatisfaction with the outcome of DIH, a prospective audit was carried out to assess causative factors. Changes in practice were made; chiefly, the provision of patient-information leaflets and the standardisation of intraoperative and postoperative analgesia. Repeat audit then assessed the effects of these changes.

RESULTS:

Ten percent of patients had a poor understanding of postoperative complications following inguinal herniorrhaphy. Thirty-eight percent had early postoperative pain; wound infiltration of local anaesthetic at the end of inguinal herniorrhaphy reduced the incidence of early postoperative pain to 23%.

CONCLUSIONS:

Audit is an important tool in surgical quality assurance for DIH. Small changes in practice with adherence to good protocols can have a marked effect on patients' experience.

PMID:
17957329
DOI:
10.1007/s10029-007-0291-7
[Indexed for MEDLINE]

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