Building a national hernia registry in South Africa: initial ventral hernia repair results from a diverse healthcare sec
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ORIGINAL ARTICLE
Building a national hernia registry in South Africa: initial ventral hernia repair results from a diverse healthcare sector J. Gouws1,2 · D. Nel1,2 · H. C. Bougard1,3,4 · C. Sofianos4,5 · G. B. Reimers4,6 · S. Rayamajhi1,2 · D. J. Folscher7 · R. de Beer4,8 · R. J. Rademan9 · I. E. Donkin6 · N. Swart10 · O. S. Taran3 · N. C. Campbell11 · J. C. Kloppers1,2,4 Received: 27 July 2020 / Accepted: 11 September 2020 © Springer-Verlag France SAS, part of Springer Nature 2020
Abstract Purpose The purpose of this paper was to introduce a new registry in a developing country by describing the demographics, management and 30-day outcomes of patients undergoing ventral hernia repair in the public and private healthcare sectors of South Africa. Methods This study was a retrospective review of a prospectively maintained hernia registry from the 1st of February 2019 to 29th of February 2020. Results 353 ventral hernia repair cases were recorded of which 47% were incisional hernias and the remainder were primary hernias. The median age was 54 years with even distribution of males and females. Half of the patients were obese with a median BMI of 31 kg/m2. The private sector performed 190 cases (54%) and the public sector 163 cases (46%). The public sector had more current smokers undergoing elective repairs, 28% vs 15%, p = 0.01 and performed more emergency repair cases, 21% vs 8%, p 30 kg/m2, with the median BMI being 31 kg/m2 [14] There were 190 cases by the private sector and 163 cases by the public sector. As is shown in Table 1, the demographic data differed between the private and public groups, with the private cohort having an older population (median age 56 years compared to 50 years in the public cohort, p
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