TPT 7.13 Safety and Feasibility of Telephone Pre-operative Assessment Alone for Inguinal Hernia Repair

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ID: 323943
2026
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Abstract Aims Face to face clinic capacity was substantially reduced during the COVID-19 pandemic and our unit developed a telephone-assessment clinic for new patients referred with suspected inguinal hernia. This study aimed to evaluate the safety and feasibility of this service for elective inguinal hernia repair and assess whether telephone assessment can reliably and consistently replace face-to-face surgical clinics when listing patients for surgery. Methods All patients listed for inguinal hernia repair between April 2019 and October 2024 were identified from a prospectively maintained database of elective activity. Mode of pre-operative assessment (telephone versus face-to-face), on-the-day cancellations, complications and readmissions were recorded. Outcomes were compared between assessment pathways. Results Of 1092 patients listed for elective inguinal hernia repair, 1028 proceeded to surgery. Sixty-four cases (6%) were cancelled on the day of surgery. There was no significant difference in on-the-day cancellation rates between telephone and face-to-face assessment pathways (53% vs. 47%), although a small numerical increase was observed following telephone assessment. Approximately 80% of cancellations were due to non-clinical factors, predominantly theatre or staffing constraints. Two-thirds of cancelled patients underwent hernia repair within 12 months. Postoperative complication and readmission rates were low and comparable between assessment modalities. Conclusions Telephone pre-operative assessment for inguinal hernia repair is safe, feasible and does not adversely affect cancellation or complication rates. This model offers a scalable solution for high-volume elective surgery under ongoing service and workforce pressures and is readily transferable to other UK district general hospitals.
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Penulis MT Hasan, Cornelia Hawkes, Chloe Wong, Mohammed Eid, Sarah Abdelbar, Arin Saha
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Jurnal the british journal of surgery
Tahun 2026
DOI
10.1093/bjs/znag087.252
URL
https://doi.org/10.1093/bjs/znag087.252
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