| Abstract | Cilj istraživanja: Procijeniti opravdanost operacije ingvinalne hernije u jednodnevnoj kirurgiji, prema kriterijima Europskog hernijskog društva. Procijeniti prevalenciju komplikacija i reoperacija u pacijenata nakon ingvinalne hernioplastike u KBC-u Osijek u 2018. godini. Nacrt studije: Istraživanje je ustrojeno kao presječna studija. Ispitanici i metode: Uključeni su pacijenti u kojih je učinjena ingvinalna hernioplastika u jednodnevnoj kirurgiji. Podatci su prikupljeni pregledom bolničkog informacijskog sustava i operacijskih protokola. Varijable analizirane u radu uključuju: dob kod prvog pregleda, spol, datum prvog pregleda, visinu, težinu, indeks tjelesne mase, ASA status, datum operativnog zahvata, vrijeme od prvog pregleda do operativnog zahvata u danima, razinu obrazovanja operatera, odnosno je li operater specijalist ili specijalizant, vrstu anestezije, duljinu hospitalizacije u danima, vrsta hernije, odnosno je li indirektna ili direktna, operacijsku dijagnozu i dijagnozu prema MKB 69, pojavu ranih komplikacija i njihov tip, vrijeme kada su nastupile rane komplikacije u danima od operativnog zahvata, pojavu kasnih komplikacija i njihov tip, vrijeme kada su nastupile kasne komplikacije u danima od operativnog zahvata i reoperacija. Rezultati: Analizirano je 94 pacijenta od kojih je 10 (10,6 %) žena i 84 (89,4%) muškarca. Medijan dobi kod prvog pregleda je 50 godina. Duljina hospitalizacije je medijana 1 dan. Rane komplikacije nastupile su kod 35 (37 %) bolesnika, a kasne su nastupile kod 10 (11 %) bolesnika. Zaključak: Zadovoljeni su kriteriji koje je postavilo Europsko hernijsko društvo, koji primarno uključuju duljinu hospitalizacije, pojavu komplikacija i stopu recidiva. Komplikacije su rijetke i bez težih posljedica, a reoperacija nije bilo. |
| Abstract (english) | Objectives: The aim of this study was to assess the success of inguinal hernioplasty in one-day surgery, according to the criteria of the European Hernia Society and to assess the prevalence of complications and reoperations in patients after inguinal hernioplasty in KBC Osijek in 2018. Study Design: The research was organised as a cross – sectional study. Patients and methods: Patients in whom inguinal hernioplasty was performed in one-day surgery were included. Data was collected by reviewing the hospital information system and operating protocols. Variables analyzed in this study included: age at first examination of abdominal surgeon, gender, date of first examination of abdominal surgeon, height, weight, body mass index, ASA status, date of surgery, time from first examination to surgery in days, level of operator education , ie is the operator a specialist or trainee, type of anesthesia, length of hospitalization in days, type of hernia, ie indirect or direct, operative diagnosis and diagnosis according to ICD 69, occurrence of early complications and their type, time when did the early complications occur in days after surgery, the occurrence of late complications and their type, the time when late complications occurred in the days after surgery and reoperations. Results: 94 patients were analyzed, of which 10 (10,6%) were women and 84 (89,4%) were men. The median age at first examination was 50 years. The length of hospitalization is a median of 1 day. Early complications occurred in 35 (37%) patients, and late complications occurred in 10 (11%) patients. Conclusion: The criteria set by the European Hernia Society, which primarily includes the length of hospitalization, the occurrence of complications and the recurrence rate, have been met. Complications are rare and without severe consequences, and there were no reoperations. |
