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Patient Reported Injuries After Ventral Hernia Repair
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap. (Clister)
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap. (Clister)
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap.
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap. (Clister)
2019 (Engelska)Ingår i: Scandinavian Journal of Surgery, ISSN 1457-4969, E-ISSN 1799-7267, Vol. 108, nr 1, s. 30-35Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND AND AIMS: The Swedish National Patient Insurance Company (LÖF) can compensate patients who believe they have been exposed to an avoidable injury or malpractice in healthcare. Its register covers 95% of Swedish healthcare providers.

MATERIAL AND METHODS: Data on patients operated for primary or incisional ventral hernia in Sweden between 2010 and 2015 and who had filed a claim, were retrieved from LÖF. A total of 290 cases were identified and included. Files include a copy of records, relevant imaging, and an expert advisor's opinion.

RESULTS: Inadvertent enterotomy occurred during 25 repairs and in these cases, laparoscopic repair was clearly overrepresented ( p  < 0.001). Complications related to the surgical site (infection and ugly scar) were predominantly related to open repairs ( p  < 0.001). Twenty percentage (57/290) of the claims were directly related to an anesthetic mishap. Univariate ordinal regression showed that the odds of receiving a high reimbursement was significantly increased if laparoscopic repair was performed p  < 0.001 (odds ratio: 0.37; 95% confidence interval: 0.21-0.65). Sixty-three percentage of claims were filed by women.

CONCLUSION: Inadvertent enterotomy is overrepresented, and the probability that a claim filed for an avoidable injury leads to high reimbursement is greater if laparoscopic repair is performed rather than open ventral hernia repair. The high amount of injuries related to general anesthesia during umbilical hernia repair may be reduced with an increased proportion executed in local anesthesia.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2019. Vol. 108, nr 1, s. 30-35
Nyckelord [en]
Ventral hernia, enterotomy, hernia repair, iatrogenic patient injury, insurance, laparoscopic repair, local anesthesia
Nationell ämneskategori
Kirurgi
Identifikatorer
URN: urn:nbn:se:umu:diva-150228DOI: 10.1177/1457496918783727ISI: 000461561500005PubMedID: 29966500OAI: oai:DiVA.org:umu-150228DiVA, id: diva2:1233874
Forskningsfinansiär
Västerbottens läns landsting, VLL-675981Tillgänglig från: 2018-07-20 Skapad: 2018-07-20 Senast uppdaterad: 2019-04-23Bibliografiskt granskad

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Lindmark, MikaelStrigård, KarinNordin, PärGunnarsson, Ulf

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Scandinavian Journal of Surgery
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