RecruitingACTRN12625000458437

Improving Access to Hernia Surgery: A Study of Same-Day Procedures in Public Hospitals

Same-Day Abdominal Wall and Groin Hernia Surgery in Adults: A Prospective Cohort Study Evaluating a Public Short-Stay Model


Sponsor

Canterbury Hospital

Enrollment

352 participants

Start Date

Sep 1, 2023

Study Type

Observational

Conditions

Summary

This study aims to evaluate the effectiveness of a dedicated short-stay hernia surgery service for adults undergoing elective repair of abdominal wall or groin hernias. The intervention involves performing laparoscopic or open surgical hernia repairs as same-day procedures, focusing on minimally invasive techniques and intraoperative nerve blocks to support early recovery. The study will assess postoperative outcomes, including complications and quality of life, through structured follow-up at 4 weeks and 12 months. The hypothesis is that same-day hernia surgery will improve access to care and patient outcomes in the public healthcare setting.


Eligibility

Sex: MalesMin Age: 18 YearssMax Age: 75 Yearss

Plain Language Summary

Simplified for easier understanding

Hernias — where tissue or organs push through a weakness in the surrounding muscle — are among the most common conditions requiring surgery, but many patients in the public health system face long waits for elective hernia repair. Same-day surgery (where patients go home the same day rather than staying overnight) can help hospitals treat more patients more efficiently, provided it is done safely with the right support in place. This study is evaluating a dedicated same-day hernia surgery service that uses minimally invasive (laparoscopic) techniques and nerve blocks to help patients recover more quickly and comfortably at home. The study will track complications, patient-reported quality of life, and recovery outcomes at four weeks and twelve months after surgery. You may be eligible if you are a male aged 18 to 75 with an uncomplicated groin or abdominal wall hernia, are in generally good health (ASA status I or II), have a BMI below 40, and have appropriate support at home after discharge. Complex hernias (such as recurrent or strangulated hernias), significant other health conditions, and lack of home support are reasons for exclusion.

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Interventions

Participants underwent elective repair of abdominal wall or groin hernias (inguinal, femoral, umbilical, or ventral) through a dedicated short-stay hernia surgery service. This service represents the

Participants underwent elective repair of abdominal wall or groin hernias (inguinal, femoral, umbilical, or ventral) through a dedicated short-stay hernia surgery service. This service represents the standard model of care at our institution and is not an intervention specific to the study. All eligible patients received either laparoscopic or open hernia repair as a planned same-day procedure, with admission and discharge occurring within the same calendar day. The care pathway emphasized minimally invasive techniques and the use of intraoperative nerve blocks to facilitate early recovery and discharge. Patients were selected for this pathway based on predefined clinical criteria, including age between 18 and 75 years, body mass index (BMI) under 40, and a low burden of comorbidities. Participation in the study involved no deviation from standard care. Data were collected as part of routine clinical follow-up at 4 weeks and 12 months postoperatively to assess surgical complications and patient-reported quality of life.


Locations(1)

NSW, Australia

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