Routine inguinal hernia repair in the pediatric population: is office follow-up necessary?
Routine inguinal hernia repair in the pediatric population has a low complication rate. Very few complications are identified at follow-up, which brings into question the necessity of the traditional postoperative visit. A retrospective review of patients who had undergone a routine inguinal hernia repair in 1991 at our institution was done in order to determine our current follow-up practices and complication rate. To determine the perceived necessity for the follow-up visit, parents were given a short telephone questionnaire. Of 175 eligible patients, questionnaires were completed on 145. Of these 145 patients, 77 were seen in follow-up by the pediatric surgeon only, 43 by the family doctor only, 12 were seen by both, and 13 patients had no physician follow-up. The sole complication was a stitch abscess (complication rate 0.7%). Results of the questionnaire showed that 90% of parents felt the follow-up visit was "helpful," 80% felt it was "necessary," and 35% would have been satisfied with telephone follow-up. The main purpose of the postoperative visit appears to be parental reassurance. Careful preoperative and postoperative instruction and reassurance may be sufficient in a significant number of cases.
Koulack
J
J
Department of Surgery, Izaak Walton Killam Children's Hospital, Halifax, Nova Scotia, Canada.
Fitzgerald
P
P
Gillis
D A
DA
Giacomantonio
M
M
D002675:Child, Preschool; D005260:Female; D006552:Hernia, Inguinal / Q000453:epidemiology / Q000601:surgery*; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009674:Nova Scotia; D009819:Office Visits; D010290:Parents / Q000523:psychology; D011182:Postoperative Care; D012189:Retrospective Studies; D013689:Telephone; D013997:Time Factors