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Open Access Research article

Increased rate of day surgery use for inguinal and femoral hernia repair in a decade of hospital admissions in the Veneto Region (north-east Italy): a record linkage study

Mario Saia1, Domenico Mantoan1, Alessandra Buja2*, Chiara Bertoncello2, Tatjana Baldovin2, Chiara Zanardo2, Giampietro Callegaro3 and Vincenzo Baldo2

Author affiliations

1 Veneto Region Health Directorate, Sanità Regione Veneto, Palazzo Molin San Polo, 2513 - 30125 Venezia, VE, Italy

2 Department of Molecular Medicine, Laboratory of Public Health and Population Studies, University of Padova, Padova, Via Loredan 18 35127 Italy

3 , Local Health Unit No. 8, Via dei Carpani 16/Z, 31033 Castelfranco Veneto, Veneto Region, Italy

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Citation and License

BMC Health Services Research 2013, 13:349  doi:10.1186/1472-6963-13-349

Published: 12 September 2013

Abstract

Background

Worldwide, there has been a marked increase in the number of inguinal and femoral hernia repairs performed as day surgery procedures. This study aimed to outline the epidemiology of the procedures for repairing unilateral inguinal and femoral hernia in the Veneto Region, and to analyze the time trends and organizational appropriateness of these procedures.

Methods

Drawing from the anonymous computerized database of hospital discharge records for the Veneto Region, we identified all unilateral groin hernia repair procedures completed in Veneto residents between 2000 and 2009 at both public and accredited private hospitals.

Results

A total 141,329 hernias were repaired in the Veneto Region during the decade considered, with an annual rate of 291.2 per 100,000 population for inguinal hernia (IH) repairs and 11.2 per 100,000 population for femoral hernia (FH) repairs. Day surgery was used more for inguinal than for femoral hernia repairs, accounting for 76% and 43% (p< 0.05), respectively, of all hernia repair procedures completed during the period. The % of other than surgery hospital ordinary admissions (day surgery or ambulatory surgery) during the decade considered rose from 61.7% to 86.7% for IH and from 33.0% to 61.8% for FH.

Conclusions

In the last decade, the Veneto Region has reduced the rate of ordinary hospital admissions for groin hernia repair with a view to improving the efficiency of the hospital network.

Keywords:
Epidemiology; Groin hernia; Inguinal hernia; Femoral hernia; Day surgery; Trend analysis