Analyzing complications and implementing solutions in a pediatric inguinal hernia cooperation program in Equatorial Guinea: a prospective cohort study.
dc.contributor.author | Rodríguez de Alarcón García, Jaime | |
dc.contributor.author | Úbeda Pascual, Amalia | |
dc.contributor.author | Fanjul Gómez, María | |
dc.contributor.author | Morató Robert, Pablo | |
dc.contributor.author | Espinosa Góngora, Rocío | |
dc.contributor.author | Martínez García, Ernesto | |
dc.contributor.author | Román Guerrero, Carlos | |
dc.contributor.author | Abaga Abaga, Santiago Jaime | |
dc.contributor.author | Soto Beauregard, Carmen | |
dc.date.accessioned | 2024-01-29T08:48:32Z | |
dc.date.available | 2024-01-29T08:48:32Z | |
dc.date.issued | 2023 | |
dc.description.abstract | Background: Few studies have evaluated the efficacy of short-term medical missions. This study was aimed to evaluate complication rates and determine the effects of protocol changes in a pediatric inguinal hernia campaign in Equatorial Guinea and analyze post-operative follow-up capacity. Methods: In this prospective observational cohort study, we evaluated two patient cohorts (group A, 2017-2018; group B, 2019) treated during campaigns in Equatorial Guinea for congenital inguinal pathology (hernia, hydrocele, and cryptorchidism). Patients aged < 18 years treated in referral campaigns were included. Complications occurring up to 6 months post-operatively were evaluated. Two stages were defined: Stage 1, wherein, complication rate in group A was compared to that in a control group from a tertiary hospital in Spain (with a case-control ratio of 1:2, paired according to age, sex and diagnosis); stage 2, wherein, complication rates between groups A and B were compared. Group B received a single dose of prophylactic amoxicillin-clavulanic acid. Follow-up capacity was assessed through follow-up appointments. Results: In stage 1, complication and surgical site infection (SSI) rates were 21.3% and 7.4% in group A (n = 94), and 5.8% (p < 0.001) and 0.5% (p = 0.012) in the control group, respectively. Group A had 20.2% loss-to-follow-up. In group B (n = 62), 6-month postoperative follow-up could not be assessed owing to restrictions due to the COVID-19 pandemic, so only early complications were considered in stage 2, were complication and surgical site infection rates were 18.1% and 7.4% in group A and 11.3% (p = 0.350) and 1.6% (p = 0.150) in group B. Conclusion: Our results showed higher than expected complication rates. Pre-operative prophylactic antibiotic could not show to reduce SSI. Further studies are needed to reduce complication rates in these campaigns. Patient loss-to-follow-up ratio warrants considering new strategies. | spa |
dc.description.extent | 1,10 MB | spa |
dc.identifier.doi | 10.1186/s43159-022-00237-5 | spa |
dc.identifier.issn | 2090-5394 | spa |
dc.identifier.uri | https://hdl.handle.net/10641/3828 | |
dc.language.iso | eng | spa |
dc.publisher | Annals of Pediatric Surgery | spa |
dc.relation.publisherversion | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830599/ | spa |
dc.rights | Atribución-NoComercial-SinDerivadas 3.0 España | * |
dc.rights.accessRights | open access | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | * |
dc.subject | Complication rates | spa |
dc.subject | Pediatric inguinal hernia | spa |
dc.subject | Pediatric surgery cooperation program | spa |
dc.subject | Short-term medical mission | spa |
dc.subject | Surgical site infection | spa |
dc.title | Analyzing complications and implementing solutions in a pediatric inguinal hernia cooperation program in Equatorial Guinea: a prospective cohort study. | spa |
dc.type | journal article | spa |
dc.type.hasVersion | AM | spa |
dspace.entity.type | Publication | |
relation.isAuthorOfPublication | 31340a2a-c214-4ec8-823a-2b5828bb3251 | |
relation.isAuthorOfPublication.latestForDiscovery | 31340a2a-c214-4ec8-823a-2b5828bb3251 |
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