{Reference Type}: Journal Article
{Title}: Adherence to international guidelines for Groin Hernia Management: a retrospective cross-sectional study in a tertiary government training hospital.
{Author}: Bragais LCG;Faylona JMV;
{Journal}: Hernia
{Volume}: 24
{Issue}: 5
{Year}: 10 2020
{Factor}: 2.92
{DOI}: 10.1007/s10029-020-02207-5
{Abstract}: This study aims to determine overall compliance of the Department of Surgery in a tertiary government training hospital to the latest International Guidelines for Groin Hernia Management from July to December 2018.<BR>Medical records of operations involving inguinal hernia in adults done from July to December 2018 (N = 150) were reviewed and compliance rates were determined based on selected ten parameters.<BR>Overall, the Department of Surgery was poorly compliant to the guidelines. All cases were only partially compliant. The highest over-all compliance was noted on the use of clinical examination alone in diagnosing primary inguinal hernias (N = 147, 100%, recurrent hernias excluded), use of appropriate technique (N = 147, 98%), and use of preoperative antibiotics (N = 144, 96%). Poor compliance was noted on round ligament preservation in females (0%), use of intraoperative local anesthesia (N = 5, 3%), and the use of European Hernia Society Classification in the final diagnosis (N = 42, 28%).<BR>Strict education, implementation, and regular monitoring of these guidelines among both the resident and consultant staff are needed to ensure better compliance to the guidelines.