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| 篇名 |
Effect of a Pediatric Surgeon on Pediatric Inguinal Hernia Repair --- Evaluation of the Importance of Surgeons with Subspecialty Training by a Single-Hospital Comparative Experience |
| 作者 |
Yu-Li Lin, Tien-Jye Chang |
| 卷期/出版年月 |
42卷5期 (2009/10) |
| 頁次 |
263-267 |
| 摘要 |
Background: Inguinal hernia repair is one of the most common operations
performed by pediatric surgeons. The aim of this communication is to analyze the
differences in results of pediatric inguinal hernia repairs in a single hospital with
and without the participation of a pediatric surgeon.
Methods: All data were collected from the children who underwent hernia repairs
at Cheng Ching hospital between December 2002 and November 2004. At present
Cheng Ching Hospital is a regional hospital that offers all types of surgical
specialists, but before December 2003 there was a lack of pediatric surgeons. The
cases mentioned above were divided into group I (December 2002 to November
2003) and group II (December 2003 to November 2004). Group II was further
divided into group IIa (operations performed by a general surgeon or urologist) and
group IIb (performed by a pediatric surgeon). Cases done by general surgeons or
urologists were compared with those done by a pediatric surgeon. The Student’s t
test was used for continuous variables.
Results: In group I the operations for 102 cases were performed equally by general
surgeons and urologists. In group II a pediatric surgeon performed 64.2% of
operations for 190 cases. Although the number of cases in group II was greater than
in group I, the number of operations performed by general surgeons was
significantly lower (P<0.001) while the number of operations performed by
urologists was similar to that in group I. Patients in group IIb were younger than in
group IIa (P<0.001) but not younger than in group I (P=0.08). Patients in group IIa
were also older than in group I, but the difference was not significant (P=0.07).
Group IIb had more young cases (<1-year-old, P<0.001) and bilateral operations
(P<0.001) than in groups I and IIa. There were no surgical complications and
recurrence was not found during this study.
Conclusions: Regional hospitals that offer the service of pediatric surgeons receive
an increasing number of patients requiring inguinal hernia repairs. This increase is
particularly prevalent in younger patients and in cases with bilateral hernias require
treatment. These results therefore reveal that subspecialty training is important
because it affects the intention of patients and their parents to seek medical advice. |
| 關鍵詞 |
inguinal hernia, pediatric surgeon, subspecialty training |
| 分類 |
Original Article |
|
