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  1. Inguinal hernia repair : Incidence of elective and emergency surgery, readmission and mortality.

    Article - En anglais

    Background

    Inguinal hernia repair is one of the most common operations undertaken in routine surgical practice.

    It generally carries a very low risk of major adverse sequelae.

    We analysed profiles, separately, for elective and emergency operations to report on the incidence and major adverse outcomes of inguinal hernia repair in a geographically defined population.

    Methods

    Age-and sex-specific hospital admission rates, emergency readmission rates within 30 days of discharge, and mortality rates, separately for elective and emergency operations, were calculated for the period 1976-1986 in the Oxford Record Linkage Study (ORLS) area.

    Results

    In all, 30 675 inguinal hernia repairs were performed in the area, an all-ages annual incidence of 13 per 10 000 population.

    Some 9% of patients underwent operation in an emergency admission.

    Elective operation rates remained constant over time.

    Emergency repairs decreased significantly over time in males.

    Patients who underwent emergency repair were older, had higher emergency readmission rates than those undergoing elective repair, and had significantly elevated postoperative mortality rates.

    In those who died it was uncommon for inguinal hernia to be recorded on their death certificates.

    Of the operations, 91% were undertaken on males ; age-specific rates were highest in infants and the elderly ; and emergency operation rates rose exponentially with age in people>50 years.

    Conclusions

    (...)

    Mots-clés Pascal : Hernie, Inguinal, Epidémiologie, Chirurgie, Homme, Mortalité, Postopératoire, Complication, Urgence, Royaume Uni, Europe, Appareil digestif pathologie

    Mots-clés Pascal anglais : Hernia, Inguinal, Epidemiology, Surgery, Human, Mortality, Postoperative, Complication, Emergency, United Kingdom, Europe, Digestive diseases

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0390174

    Code Inist : 002B25G02. Création : 10/04/1997.