Hernia (including Incisional)

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to referral standards and include in particular:

  • Size and location
  • Reducibility
  • Symptoms and impact on their quality of life is helpful in triaging

Tests

An ultrasound is not required for obvious hernias.

Interim/GP management

To refer a patient with this condition, please see the General Surgery clinic page for the full referral process and templates.

Patient should be educated about warning signs of strangulation.Avoid heavy lifting.

For more information please see the Tasmanian Health Pathways website.

Emergency

Strangulated hernia

Urgent / category 1

Immediate recurrence of hernia post treatment.

Frequent pain

Semi-urgent / category 2

Symptoms interfering with life and work

Routine / category 3

Uncomplicated hernias

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED).
LGH ED Reception  – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100  Fax: (03) 6173 0489

Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.

Urgent:

For urgent referrals call the RHH switch on 6166 8308 and ask for the nurse in charge of surgical clinics or the relevant consultant to expedite the consultation.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment