ArticleHernia : the journal of hernias and abdominal wall surgery2013
Anaesthetic preference and outcomes for elective inguinal hernia repair: a comparative analysis of public and private hospitals.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- Do patients scheduled for inguinal hernia repair express a preference for the repair technique? What questions do they frequently ask?Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- The association of transversus abdominis plane block with length of stay, pain and opioid consumption after anterior or lateral lumbar fusion: a retrospective study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Article
- Day case parathyroidectomy: is this the right way for the patients?Gland surgery · 2020Article
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- Comparing public and private providers: a scoping review of hospital services in Europe.BMC health services research · 2018Article
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Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is paucity of data regarding patient selection criteria, anaesthetic preferences and outcomes of elective inguinal hernia repair in public and private sector in the UK. This study aimed to compare such outcomes.
methodsFive hundred and fifty-five consecutive inguinal hernia repairs performed by one consultant surgeon in public and private sector were reviewed from a prospectively maintained database. The patient demographics, anaesthetic choice, day case rates and early and long-term morbidity were analysed.
resultsThe median age of the study group was 59 years (range 16-96 years) with a male/female ratio of 21:1. A total of 436 (78 %) patients underwent surgery in the public sector and 119 (22 %) patients in the private sector. The patients undergoing surgery in the private sector were younger compared to public sector (55 vs. 60 years, p = 0.03). The number of patients with ASA grades III and IV was higher in public sector (28.6 %) compared to private sector (p = 0.0001). General anaesthesia was the preferred anaesthetic technique in the private sector (52 %) and local anaesthesia in the public sector (66 %) (p = 0.0002). The day case rates were higher than in the private sector compared to public sector (78 vs. 66.5 %, p = 0.01). No significant difference was noted in the incidence of post-operative complications, recurrence, groin pain and satisfaction rate between the two groups.
conclusionPatients undergoing surgery in the private sector are younger, healthier, prefer general anaesthesia and have higher day case rates compared to public sector. The short- and long-term outcomes are similar between public and private sectors.
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Registered trials
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