In 1970 a general surgical team on Teesside adopted the Shouldice operation for inguinal hernia together with a policy of short-stay surgery. Careful follow-up has established that repairs using the suture material of choice--stainless-steel wire--have an estimated 6-year recurrence-rate of 0.8%, statistically indistinguishable from that achieved by the highly specialised Shouldice Clinic. However, the recurrence-rate 2 years after suturing with an alternative polyester-based material is estimated at 8.1%--a figure much more in keeping with rates reported by general surgeons using traditional methods.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/s0140-6736(77)92791-x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Estimating the minimum clinically important difference (MCID) of the five-repetition sit-to-stand test in patients with lumbar disc herniation.
Eur Spine J
December 2024
Machine Intelligence in Clinical Neuroscience and Microsurgical Neuroanatomy (MICN) Laboratory, Department of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.
Article Synopsis
- This study investigates the effectiveness of surgical interventions for lumbar disc herniation (LDH) by analyzing the minimum clinically important difference (MCID) in the five-repetition sit-to-stand (5R-STS) test one year after surgery.
- The researchers recruited 134 patients and gathered various measurements related to their health before and after surgery, ultimately determining the MCID as an average of 3.6 seconds for meaningful improvement in their performance.
- The conclusion highlights that a 3.6-second improvement in the 5R-STS test signifies a clinically relevant enhancement in patients recovering from LDH.
Racial and ethnic disparities in short-stay primary total shoulder arthroplasty.
Shoulder Elbow
December 2024
Department of Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, SC, USA.
Background: There is a paucity of literature evaluating the utilization of short-stay total shoulder arthroplasty (TSA) in different racial groups. The purpose of this study is to compare short-stay TSA utilization and postoperative outcomes across racial groups.
Methods: The National Surgical Quality Improvement Program (NSQIP) database was queried from 2010 to 2018 to identify patients who underwent primary short-stay TSA, defined as a length of stay of less than 2 midnights.
[The in-patient substituting technologies in maxillofacial surgery: characteristics of organization and ways of further development].
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med
November 2024
The State Budget Institution "The N. I. Pirogov Municipal Clinical Hospital № 1" of the Moscow Health Care Department, 115191, Moscow, Russia,
The social economic crisis and international sanctions significantly affected health care system that requires implementation of new organizational approaches with medical, social and economic benefits. Currently, up to 80% of budgetary funds for health care are spent on in-patient care, although 20-50% of patients could be effectively treated in less expensive short-stay hospitals. The purpose of the study is to assess efficiency of specialized care in maxillofacial surgery in conditions of short-stay hospitals.
View Article and Find Full Text PDFPredictive Factors of Short Inpatient Stay Following Total Knee Replacement.
Musculoskeletal Care
December 2024
Department of Orthopaedic Surgery, Hand and Reconstructive Microsurgery Cluster, University Orthopaedic, National University Hospital, Singapore, Singapore.
Introduction: Enhanced Recovery after Surgery (ERAS) protocols adopt a multidisciplinary approach in perioperative care to reduce Length of Stay (LOS). This study aims to identify predictive factors resulting in short-stay following TKR with an ERAS programme.
Methods: Retrospective analysis was performed on a consecutive series of patients who underwent unilateral TKR by a single surgeon in a tertiary institution between August 2019 and December 2021.
Implementing an enhanced recovery from surgery pathway to reduce hospital length of stay for primary hip or knee arthroplasty: a budget impact analysis.
BMC Health Serv Res
December 2024
School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Background: Given growing demand for hip and knee arthroplasty and unsustainable resource requirements, safe and efficient models of care are critical. This study aims to determine the impact on healthcare costs of implementing an enhanced short-stay model of care (ESS-MOC) for arthroplasty at a national level.
Methods: A budget impact analysis was conducted for the years 2023-2030 in the setting of Australian publicly and privately funded hospitals performing hip or knee arthroplasty.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!