2014
DOI: 10.1016/j.ijsu.2014.07.019
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Development of a ratio of emergent to total hernia repairs as a surgical capacity metric

Abstract: Summary INTRODUCTION Non-communicable diseases including surgical conditions are gaining attention in developing countries. Despite this there are few metrics for surgical capacity. We hypothesized that (a) the ratio of emergent to total hernia repairs (E/TH) would correlate with per capita health care expenditures for any given country, and (b) the E/TH is easy to obtain in resource-poor settings. METHODS We performed a systematic review to identify the E/TH for as many countries as possible (Prospero regi… Show more

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Cited by 19 publications
(14 citation statements)
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“…This resulted in seven ( 7) bowel resections and one omental Mesh repair was the most common 98 (37.8%) technique for posterior wall reinforcement followed by simple suturing 57(22.0%), nylon darn 34 (13.1%), and Bassini repair with Tanner slide 22(8.5%). Herniotomy alone was done for 48 children, one child had herniorrhaphy in addition due to perceived weakness of the posterior wall whilst the remaining had simple ernia (14) and There were 35 early complications, hematoma being the most common (21), followed by surgical site infection (12) and acute retention of urine (2).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…This resulted in seven ( 7) bowel resections and one omental Mesh repair was the most common 98 (37.8%) technique for posterior wall reinforcement followed by simple suturing 57(22.0%), nylon darn 34 (13.1%), and Bassini repair with Tanner slide 22(8.5%). Herniotomy alone was done for 48 children, one child had herniorrhaphy in addition due to perceived weakness of the posterior wall whilst the remaining had simple ernia (14) and There were 35 early complications, hematoma being the most common (21), followed by surgical site infection (12) and acute retention of urine (2).…”
Section: Resultsmentioning
confidence: 99%
“…Adverse outcomes are usually commoner in areas with low elective repair rates [9,13] Several studies have documented the ratio of emergent to total hernia repairs across the world and this has been used as surgical capacity metric [14]. Emergent hernia repair accounts for 65% of all hernia surgeries in a tertiary hospital in Kumasi [15].…”
Section: Discussionmentioning
confidence: 99%
“…Delayed presentations, such as more advanced stage of cancer or more severe peripheral arterial disease, may necessitate higher risk procedures 25 . This analysis adjusted for rates of emergency surgery (a proxy for delayed surgical access) 25,27,28 . Adjusting for rates of emergency surgery decreased the odds of adverse events in low socioeconomic patients for all outcomes examined; however the only outcome where the disparity was no longer statistically significant after adjustment was acute renal failure in unemployed patients.…”
Section: Discussionmentioning
confidence: 99%
“…High emergency and obstetric surgical volumes overwhelm the already limited operative capacity in Uganda’s private and PNFP hospitals. An effective surgical system sustains a balance of emergency and elective surgery [49, 50]. However, in some of the assessed facilities, nearly 90% of cases are emergencies, with caesarean deliveries as the most common operation.…”
Section: Discussionmentioning
confidence: 99%