J Korean Surg Soc.  2007 Jul;73(1):53-59.

The State of Patient Satisfaction after Hernioplasty on an Ambulatory Basis

Affiliations
  • 1Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea. kangsb@snubh.org
  • 2Department of Surgery, Chungnam National University Hospital, Daejeon, Korea.

Abstract

PURPOSE: There have been no studies employing a specific questionnaire relating to patient satisfaction following ambulatory hernioplasty. Via the production of a novel specific questionnaire, attempts were made to determine the factors associated with patient satisfaction following hernioplasty on an ambulatory basis.
METHODS
Patient satisfaction was evaluated via cross-sectional telephone surveys administered 10.5 (range of 2~23) months after their operations, consisting of six questions, regarding; anesthetic technique, surgical method, necessity for admission, necessity for follow-up, intraoperative pain, and postoperative pain. Each of the questions was then scored using a 4-point scoring system, with global satisfaction determined via the addition of each score. Factors related to global satisfaction were determined among preoperative, intraoperative and postoperative factors.
RESULTS
Telephone questionnaire interviews were conducted on all 131 consecutive patients. Four respondents (3.1%) expressed dissatisfaction with the ambulatory surgery. Twelve (9.2%) had been admitted overnight after the operation. Thirteen (9.9%) required analgesics for over 3 days. No patients required a re-operation, although 20 (15.3%) experienced minor postoperative complications. Significant factors for global dissatisfaction were analgesic requirement for over 3 days and the presence of surgical complication (P value <0.05). Time until return to work and required overnight admission were important factors for patient satisfaction, but these were not significant.
CONCLUSION
Patient satisfaction was associated with postoperative pain and surgical complications. Therefore, a more appropriate method for pain control and prevention of minor surgical complication are suggested might serve to enhance patient satisfaction after hernioplasty on an ambulatory basis.

Keyword

Inguinal hernia; Hernioplasty; Satisfaction; Ambulatory surgery

MeSH Terms

Ambulatory Surgical Procedures
Analgesics
Follow-Up Studies
Hernia, Inguinal
Herniorrhaphy*
Humans
Pain, Postoperative
Patient Satisfaction*
Postoperative Complications
Surveys and Questionnaires
Return to Work
Surveys and Questionnaires
Telephone
Analgesics
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