TPT 5.07 Improving Postoperative Discharge Documentation for Inguinal Hernia Repair: An Audit of Compliance with British Hernia Society Guidelines and the Impact of Standardised Patient Leaflets
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2026
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Abstract
Abstract Background Clear postoperative discharge advice is vital for patient recovery, understanding, and reducing avoidable healthcare use. The British Hernia Society outlines essential components of postoperative information for inguinal hernia repair, yet documentation consistency varies across institutions. Objective To assess compliance of discharge summaries with British Hernia Society guidelines for postoperative inguinal hernia repair and evaluate the impact of introducing structured patient-information leaflets. Methods A retrospective audit of 25 postoperative inguinal hernia repair patients was undertaken. Discharge summaries were reviewed against guideline domains, including analgesia advice, wound care, activity restrictions, suture or staple documentation, postoperative complications and safety-netting. In the second audit cycle, all patients received a standardised information leaflet detailing analgesia self-administration, exercise and lifting guidance, wound care, closure type, and red-flag symptoms. Results Documentation compliance varied significantly: analgesia 0%, bruising/swelling 45%, heavy lifting 75%, DVT/mobility 63%, numbness/pain 0%, closure type 36%, safety-netting 45%, exercise 45%, dressing changes 16%, mesh documentation 90%, postoperative bleeding 50%, showering/bathing advice 50%. Following the introduction of standardised postoperative leaflets, general practitioner and emergency department attendances related to postoperative concerns decreased substantially, and 98% of patients reported improved understanding of their postoperative instructions. Conclusion Baseline postoperative documentation was inconsistent and frequently incomplete. Standardised patient-information leaflets significantly improved patient comprehension and reduced unplanned healthcare usage. Routine incorporation of structured, guideline-based discharge materials is recommended, particularly within high-volume surgical centres.
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openalex_W7172495911
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| Authors | Aslesha Deshraju, Gargi Samarth, Una Walsh |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.221
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| Keywords | Keywords not found |
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