Comment to: Outpatient groin hernia repair: assess


Dear editor,

We read the report on “Outpatient groin hernia repair” with a great interest [1]. Drissi et al. concluded that “More than 74% of the patients benefited from outpatient surgery for GHR with a poor failure rate [1]”. It seems that there is still a problem due to the outpatient surgical management. Shortening the period of hospitalization might be useful for reduction of cost and possible nosocomial infection but it might pose the risk from lack of good post-operative moni- toring. There are many determinants for the success of out- patient hernia repair including the skill of surgeon, local facilities of medical center and surgical technique [2]. In our setting in developing countries, due to lack of facilities, the admission of the patients for short hospitalization for closed monitoring of the patient is usually the main option. The main question on “Outpatient groin hernia repair” is how the surgeon can guarantee the safety of the patients.


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