دورية أكاديمية
Where is the nerve? Review of operation note documentation practice for inguinal hernia repair.
| العنوان: | Where is the nerve? Review of operation note documentation practice for inguinal hernia repair. |
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| المؤلفون: | Farquharson BJ; East and North Hertfordshire NHS Trust, UK., Sivarajah V; East and North Hertfordshire NHS Trust, UK., Mahdi S; East and North Hertfordshire NHS Trust, UK., Bergman H; East and North Hertfordshire NHS Trust, UK., Jeyarajah S; East and North Hertfordshire NHS Trust, UK. |
| المصدر: | Annals of the Royal College of Surgeons of England [Ann R Coll Surg Engl] 2021 Oct; Vol. 103 (9), pp. 651-655. Date of Electronic Publication: 2021 Aug 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Royal College of Surgeons of England Country of Publication: England NLM ID: 7506860 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1478-7083 (Electronic) Linking ISSN: 00358843 NLM ISO Abbreviation: Ann R Coll Surg Engl Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : Royal College of Surgeons of England |
| مواضيع طبية MeSH: | Documentation*, Groin/*innervation , Hernia, Inguinal/*surgery , Herniorrhaphy/*methods , Inguinal Canal/*diagnostic imaging , Intraoperative Care/*methods , Intraoperative Complications/*prevention & control, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Young Adult |
| مستخلص: | Introduction: Careful identification and management of inguinal nerves during inguinal hernia repair is important to avoid iatrogenic injury. Documentation of this practice may inform postoperative clinical management. We set out to investigate how often surgeons identify inguinal nerves and document findings and management in their operation notes. Methods: We carried out a retrospective review of operation notes at a single district general hospital. We analysed operation notes for documentation of identification and intraoperative management (preservation or sacrifice) of the inguinal nerves (iliohypogastric, ilioinguinal, genital branch of genitofemoral nerve). We collected data on the baseline characteristics of the patients, hernia characteristics and primary operating surgeons for subgroup analysis. Results: A total of 100 patients were included in the analysis. Identification of any inguinal nerves (generic 'nerve') was documented in 17% of operation notes. Documentation in the operation notes of named individual nerves was limited. No documentation of intraoperative management of inguinal nerves was found in 83% of operation notes. Preservation of the inguinal nerves (generic 'nerve') was recorded in 8% and sacrifice recorded in 9% of cases. Subgroup analysis revealed similar incidence of documentation of identification and management of inguinal nerves across grades of primary surgeon, with overall incidence low for all grades. Conclusion: This study reveals a lack of appreciation of the importance of documenting identification and management of inguinal nerves in operation notes. Further consideration of the potential implications of poor documentation would be beneficial to improve standards. |
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| فهرسة مساهمة: | Keywords: Chronic pain; Documentation; Inguinal hernia; Inguinal nerve; Operation notes |
| تواريخ الأحداث: | Date Created: 20210820 Date Completed: 20211027 Latest Revision: 20230713 |
| رمز التحديث: | 20230713 |
| مُعرف محوري في PubMed: | PMC10335081 |
| DOI: | 10.1308/rcsann.2021.0024 |
| PMID: | 34412537 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1478-7083 |
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| DOI: | 10.1308/rcsann.2021.0024 |