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An audit of emergency hernia operations: Surrogate of system failure or incidentalomas?
Background: Hernia emergencies common surgery. Around 20 million groin hernia operations occur world-wide, and these form 70% of all hernia operations. Incisional hernias complicate 15- 30% of laparotomies and 20% of these present as emergencies. Watchful waiting is often applied for groin, ventral...
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| Format: | Thesis |
| Language: | English |
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Division of General Surgery
2020
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| _version_ | 1867613195940659200 |
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| access_status_str | Open Access |
| author | Nkgudi, Boitumelo |
| author2 | Kloppers, Jacobus |
| author_browse | Kloppers, Jacobus Nkgudi, Boitumelo |
| author_facet | Kloppers, Jacobus Nkgudi, Boitumelo |
| author_sort | Nkgudi, Boitumelo |
| collection | Thesis |
| description | Background: Hernia emergencies common surgery. Around 20 million groin hernia operations occur world-wide, and these form 70% of all hernia operations. Incisional hernias complicate 15- 30% of laparotomies and 20% of these present as emergencies. Watchful waiting is often applied for groin, ventral and incisional hernias in patients who are asymptomatic or those who are poor surgical candidates. The factors associated with poor outcomes include - elderly patients, multiple comorbidities, delays in presentation, those which are incarcerated or strangulated and delays in getting to theatre. Management of emergency hernias include resuscitative efforts to address life threatening problems, and thereafter performing the safest and most durable repairs. Aim: We aim to elucidate patient and health care systems factors that contribute to hernia emergency presentations and to document the mortality and morbidity of such presentations in our unit. Method: We aim to review case files of all patients above 18 years of age who had their emergency surgery for a complicated hernia. All elective cases will be excluded. Conclusion: This study will contribute to understanding emergency hernias in south Africa and will seek to improve patient care in our setting. A hernia registry has recently been established and thus we will be able to contribute to its foundation. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/32306 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:32:17.361Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | Division of General Surgery |
| publisherStr | Division of General Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/32306 An audit of emergency hernia operations: Surrogate of system failure or incidentalomas? Nkgudi, Boitumelo Kloppers, Jacobus Rayamajhi, Shreya Medicine Surgery Background: Hernia emergencies common surgery. Around 20 million groin hernia operations occur world-wide, and these form 70% of all hernia operations. Incisional hernias complicate 15- 30% of laparotomies and 20% of these present as emergencies. Watchful waiting is often applied for groin, ventral and incisional hernias in patients who are asymptomatic or those who are poor surgical candidates. The factors associated with poor outcomes include - elderly patients, multiple comorbidities, delays in presentation, those which are incarcerated or strangulated and delays in getting to theatre. Management of emergency hernias include resuscitative efforts to address life threatening problems, and thereafter performing the safest and most durable repairs. Aim: We aim to elucidate patient and health care systems factors that contribute to hernia emergency presentations and to document the mortality and morbidity of such presentations in our unit. Method: We aim to review case files of all patients above 18 years of age who had their emergency surgery for a complicated hernia. All elective cases will be excluded. Conclusion: This study will contribute to understanding emergency hernias in south Africa and will seek to improve patient care in our setting. A hernia registry has recently been established and thus we will be able to contribute to its foundation. 2020-10-15T11:23:05Z 2020-10-15T11:23:05Z 2020 2020-10-15T11:15:11Z Master Thesis Masters MMed http://hdl.handle.net/11427/32306 eng application/pdf Division of General Surgery Faculty of Health Sciences |
| spellingShingle | Medicine Surgery Nkgudi, Boitumelo An audit of emergency hernia operations: Surrogate of system failure or incidentalomas? |
| thesis_degree_str | Master's |
| title | An audit of emergency hernia operations: Surrogate of system failure or incidentalomas? |
| title_full | An audit of emergency hernia operations: Surrogate of system failure or incidentalomas? |
| title_fullStr | An audit of emergency hernia operations: Surrogate of system failure or incidentalomas? |
| title_full_unstemmed | An audit of emergency hernia operations: Surrogate of system failure or incidentalomas? |
| title_short | An audit of emergency hernia operations: Surrogate of system failure or incidentalomas? |
| title_sort | audit of emergency hernia operations surrogate of system failure or incidentalomas |
| topic | Medicine Surgery |
| url | http://hdl.handle.net/11427/32306 |
| work_keys_str_mv | AT nkgudiboitumelo anauditofemergencyherniaoperationssurrogateofsystemfailureorincidentalomas AT nkgudiboitumelo auditofemergencyherniaoperationssurrogateofsystemfailureorincidentalomas |