Skip to main content
SpringerLink
Log in

Adherence to international guidelines for Groin Hernia Management: a retrospective cross-sectional study in a tertiary government training hospital

  • Original Article
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

Purpose

This study aims to determine overall compliance of the Department of Surgery in a tertiary government training hospital to the latest International Guidelines for Groin Hernia Management from July to December 2018.

Methods

Medical records of operations involving inguinal hernia in adults done from July to December 2018 (N = 150) were reviewed and compliance rates were determined based on selected ten parameters.

Results

Overall, the Department of Surgery was poorly compliant to the guidelines. All cases were only partially compliant. The highest over-all compliance was noted on the use of clinical examination alone in diagnosing primary inguinal hernias (N = 147, 100%, recurrent hernias excluded), use of appropriate technique (N = 147, 98%), and use of preoperative antibiotics (N = 144, 96%). Poor compliance was noted on round ligament preservation in females (0%), use of intraoperative local anesthesia (N = 5, 3%), and the use of European Hernia Society Classification in the final diagnosis (N = 42, 28%).

Conclusion

Strict education, implementation, and regular monitoring of these guidelines among both the resident and consultant staff are needed to ensure better compliance to the guidelines.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. de los Santos NC, Sarmiento RI et al (2007) Evidence-based clinical practice guidelines on the management of adult inguinal hernia: primary inguinal hernia, recurrent inguinal hernia and bilateral inguinal hernia. PJSS 62(1):40–51

    Google Scholar 

  2. Quodala S (2015) Did you know: Philippine General Hospital. Philippine General Hospital. Philippine Daily Inquirer. Accessed 9 Apr 2015

  3. Simons MP, Aufenacker T, Bay-Nielsen M et al (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13:343–403

    Article  CAS  Google Scholar 

  4. Miserez M, Peeters E, Aufenacker T et al (2014) Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 18(2):151–163

    Article  CAS  Google Scholar 

  5. Bittner R, Arregui ME et al (2011) Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc 25(9):2773–2843

    Article  CAS  Google Scholar 

  6. HerniaSurge Group (2018) International guidelines for groin hernia management. Hernia 22(1):1–165

    Article  Google Scholar 

  7. O’Neil S, Robertson AG et al (2014) A national trainee-led audit of inguinal hernia repair in Scotland. Hernia. https://doi.org/10.1007/s10029-014-1298-5

    Article  Google Scholar 

  8. de Lange DH, Kreeft M et al (2010) Inguinal hernia surgery in the Netherlands: are patients treated according to the guidelines? Hernia 14:143–148

    Article  Google Scholar 

  9. Bay-Nielsen M, Kehlet H (2008) Anaesthesia and post-operative morbidity after elective groin hernia repair: a nation-wide study. Acta Anaesthesiol Scand 52(2):169–174. https://doi.org/10.1111/j.1399-6576.2007.01514.x

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Philippine General Hospital, Taft Avenue, Ermita, 1000, Manila, Philippines

    L. C. G. Bragais & J. M. V. Faylona

Authors
  1. L. C. G. Bragais
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. M. V. Faylona
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to L. C. G. Bragais.

Ethics declarations

Conflict of interest

The authors declare no conflict of interest.

Funding

This research funded solely by the main author (LG Bragais).

Ethical approval

This research protocol was approved by the University of the Philippines Manila Research Ethics Board (UPMREB) and was conducted in accordance with the principles of Data Privacy Act of 2012.

Human rights/Informed consent

A waiver of informed consent was granted by the UPMREB panel for the following reasons in accordance to the National Ethical Guidelines of Health and Health-related Research 2017: 1.) The research presents no more than minimal risk and does not involve procedures (e.g. medical interventions) for which informed consent is usually required; 2.) The waiver does not adversely affect the rights and welfare of the participants; and 3.) The research cannot be practicably carried out without the waiver or alteration.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bragais, L.C.G., Faylona, J.M.V. Adherence to international guidelines for Groin Hernia Management: a retrospective cross-sectional study in a tertiary government training hospital. Hernia 24, 969–975 (2020). https://doi.org/10.1007/s10029-020-02207-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-020-02207-5

Keywords

Search

Navigation