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Letters

Saving money on hernia repairs?

J B Tisdale
British Journal of General Practice 2004; 54 (508): 870.
J B Tisdale
The Surgery, Tregony Road, Probus, Truro TR2 4JY. E-mail:
Roles: General Practitioner
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  • For correspondence: Carol.Paramor@probus.cornwall.nhs.uk
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We were delighted to read of Dhumale's enthusiasm and success in treating abdominal wall hernias.1 We have a similar experience with 400-plus groin hernia repairs. The model is different — surgery is performed by a retiring general surgeon with an interest in hernia surgery and an enthusiastic GP with a special interest in the subject. No sedation is used and the repair is of modified Shouldice type without mesh. Recurrent hernias and anti-coagulants don't worry us and no anaesthetist is required.

The patients are more satisfied than those from a hospital day care unit, whether in a district hospital, small community hospital or private hospital. There must be savings but no-one really seems to know their true costs. Even if we only save £100 per case and only 50% of the NHS load of 100 000 hernia repairs per year were cared for this way, the savings could be considerable.

  • © British Journal of General Practice, 2004.

References

  1. ↵
    1. Dhumale R
    (2004) Feasibility study of hernia surgery in a general practice setting. Br J Gen Pract 54:604–607.
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British Journal of General Practice: 54 (508)
British Journal of General Practice
Vol. 54, Issue 508
November 2004
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Saving money on hernia repairs?
J B Tisdale
British Journal of General Practice 2004; 54 (508): 870.

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Saving money on hernia repairs?
J B Tisdale
British Journal of General Practice 2004; 54 (508): 870.
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Print ISSN: 0960-1643
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