Long-term follow-up and operative performance metrics of inguinal hernioplasty training in the Dominican Republic.

IF 2.6 2区医学 Q1 SURGERY

Hernia Pub Date : 2025-02-18 DOI:10.1007/s10029-025-03286-y

Quilvio Colon Diaz, Jose Morel, Cesar Castillo, Alvaro Torres Velasquez, Taty Gisselle Medina Novas, Ryan W Walters, Corey Lawson, Sardis Sosa, Cynthia Nunez, Jorge Rodriguez, Giampiero Campanelli, David Chen, Charles J Filipi

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引用次数: 0

Abstract

Purpose: The long-term outcomes of inguinal hernioplasty are crucial for evaluating patient benefits, though follow-up can be challenging, especially in low and middle-income countries (LMICs).

Methods: Program coordinators in the Dominican Republic reached out to 288 patients operated on between 2014 and 2019 under a Hernia Repair for the Underserved (HRFU) training initiative. Each patient underwent an anterior Lichtenstein procedure performed by either an international HRFU expert surgeon (128 patients) or two local Dominican surgeons (160 patients) certified using the Operative Performance Rating Scale (OPRS).

Results: Long-term outcomes were obtained from 30% (86/288) of patients. Follow-up data were obtained from 12% (35/288) of patients by a history and physical examination by independent Dominican surgeons. 18% (51/288) completed telephone follow-up using a four-question survey tailored for standard inguinal hernia outcomes. The phone questionnaire follow-up method (18%) was more effective than the H & P. One patient required reoperation for a mesh granuloma and one had a reoperation for a recurrent hernia. The average length of follow-up was 52 months.

Conclusion: This study reports the longest durations of follow-up after inguinal hernia repair performed in a LMIC and the longest clinical outcomes follow-up of operations performed using the OPRS training method.

查看原文本刊更多论文

多米尼加共和国腹股沟疝成形术训练的长期随访和手术效果指标。

目的：腹股沟疝成形术的长期结果是评估患者获益的关键，尽管随访可能具有挑战性，特别是在低收入和中等收入国家（LMICs）。方法：多米尼加共和国的项目协调员在2014年至2019年期间接触了288名在服务不足人群疝气修复（HRFU）培训计划下接受手术的患者。每位患者均接受了前路利希登斯坦手术，由一名国际HRFU专家外科医生（128名患者）或两名多米尼加当地外科医生（160名患者）使用手术表现评定量表（OPRS）进行认证。结果：30%（86/288）的患者获得了长期预后。12%（35/288）的患者通过多米尼加独立外科医生的病史和体格检查获得随访数据。18%（51/288）完成了针对标准腹股沟疝结果量身定制的四问题调查电话随访。电话问卷随访法（18%）比h&p法更有效，1例因网状肉芽肿需要再次手术，1例因复发疝需要再次手术。平均随访时间为52个月。结论：本研究报告了LMIC腹股沟疝修补术后最长的随访时间，以及使用OPRS训练方法进行的手术最长的临床结果随访。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.