Advice on driving after groin hernia surgery in the United Kingdom: questionnaire survey

Ismail, Wael; Taylor, Stephanie; Emma, Beddow

doi:10.1136/bmj.321.7268.1056

Cited by 17 publications

(6 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the Lichtenstein clinic, the opinion is that driving can be resumed straight away [ 13 ]. It is hardly surprising that every surgeon gives a different recommendation [ 140 ].…”

Section: Guidelines For the Treatment Of Inguinal Hernia In Adultsmentioning

confidence: 99%

European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Simons

Aufenacker

Bay‐Nielsen

et al. 2009

Hernia

1,333

979

View full text Add to dashboard Cite

The European Hernia Society (EHS) is proud to present the EHS Guidelines for the Treatment of Inguinal Hernia in Adult Patients. The Guidelines contain recommendations for the treatment of inguinal hernia from diagnosis till aftercare. They have been developed by a Working Group consisting of expert surgeons with representatives of 14 country members of the EHS. They are evidence-based and, when necessary, a consensus was reached among all members. The Guidelines have been reviewed by a Steering Committee. Before finalisation, feedback from different national hernia societies was obtained. The Appraisal of Guidelines for REsearch and Evaluation (AGREE) instrument was used by the Cochrane Association to validate the Guidelines. The Guidelines can be used to adjust local protocols, for training purposes and quality control. They will be revised in 2012 in order to keep them updated. In between revisions, it is the intention of the Working Group to provide every year, during the EHS annual congress, a short update of new high-level evidence (randomised controlled trials [RCTs] and meta-analyses). Developing guidelines leads to questions that remain to be answered by specific research. Therefore, we provide recommendations for further research that can be performed to raise the level of evidence concerning certain aspects of inguinal hernia treatment. In addition, a short summary, specifically for the general practitioner, is given. In order to increase the practical use of the Guidelines by consultants and residents, more details on the most important surgical techniques, local infiltration anaesthesia and a patient information sheet is provided. The most important challenge now will be the implementation of the Guidelines in daily surgical practice. This remains an important task for the EHS. The establishment of an EHS school for teaching inguinal hernia repair surgical techniques, including tips and tricks from experts to overcome the learning curve (especially in endoscopic repair), will be the next step. Working together on this project was a great learning experience, and it was worthwhile and fun. Cultural differences between members were easily overcome by educating each other, respecting different views and always coming back to the principles of evidence-based medicine. The members of the Working Group would like to thank the EHS board for their support and especially Ethicon for sponsoring the many meetings that were needed to finalise such an ambitious project.

show abstract

“…In the Lichtenstein clinic, the opinion is that driving can be resumed straight away [ 13 ]. It is hardly surprising that every surgeon gives a different recommendation [ 140 ].…”

Section: Guidelines For the Treatment Of Inguinal Hernia In Adultsmentioning

confidence: 99%

European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Simons

Aufenacker

Bay‐Nielsen

et al. 2009

Hernia

1,333

979

View full text Add to dashboard Cite

show abstract

“…However, as he mentioned, this is not the case in the era of tension-free open and laparo-endoscopic repairs, and patients can return to normal daily activities, including driving. Amid also agreed with Ismail et al (25) about developing national guidelines on this issue (30).…”

mentioning

confidence: 70%

“…In practice, advice on when to drive after groin hernia surgery may widely differ among surgeons. Ismail et al (25) reported that recommended convalescence, by British surgeons, before patients resume driving reflected a wide spectrum from "same day as operation" to 6-8 weeks. Some verbal definitions were also used such as "as soon as you feel comfortable" or "as soon as you can do an emergency stop. "…”

mentioning

confidence: 99%

Comments on the new groin hernia guidelines: What has changed? What has remained unanswered?

Kulaçoğlu¹

2018

Turk J Surg

View full text Add to dashboard Cite

Comments on the new groin hernia guidelines: What has changed? What has remained unanswered? Guidelines are meant to evaluate the options available in the current circumstances and suggest the proper solutions for particular problems. The duty of a guideline is to present a basis for decision-making. Surgical options for the treatment of groin hernias are numerous. Recently, a joint guideline called "International Guidelines for Groin Hernia Management" was developed by five continental hernia societies, the International Endo hernia Society, and the European Association for Endoscopic Surgery. This article aimed to review the methodology, statements, and recommendations of the new guidelines and emphasized the importance of the tailored surgery for groin hernias. Spreading the guidelines may provide surgeons with an up-to-date knowledge and be useful for better outcomes in groin hernia surgery.

show abstract

“…This is dependent on the type of laparoscopic procedure that has been performed. For example, a patient undergoing laparoscopic cholecystectomy or hernia repair may be able to drive after 1-2 weeks 14 , whereas those undergoing hernia repair or larger cancer procedures may need to wait longer. Patients should only be allowed to drive if they are comfortably able to apply an emergency brake, look in their blind spot and have sufficient reaction times.…”

Section: Drivingmentioning

confidence: 99%

Management of patients after laparoscopic procedures

Blencowe

Waldon²,

Vipond

2018

BMJ

View full text Add to dashboard Cite

What you need to know • The length of the recovery period depends upon the procedure that has been performed, and may be as short as 1-2 weeks • Patients should refrain from driving until they are comfortably able to look in their blind spot and perform an emergency stop • Worsening post-operative pain suggests a potential abdominal complication, and the patient requires urgent assessment • Although most wound infections after laparoscopic surgery are superficial, some can involve the deeper tissues and should be reassessed in hospital, particularly if prosthetic material has been inserted (e.g. mesh)

show abstract

Advice on driving after groin hernia surgery in the United Kingdom: questionnaire survey

Cited by 17 publications

References 3 publications

European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Comments on the new groin hernia guidelines: What has changed? What has remained unanswered?

Management of patients after laparoscopic procedures

Contact Info

Product

Resources

About