Clinical practice and safety evaluation of same-day surgery mode for inguinal hernia repair in elderly patients_West China Medical Journal

Authors：

QIN Lang ¹ , ZHAO Rui ² , WAN Qianyi ² , LIU Qian ¹ , HUANG Mingjun ¹ , DAI Yan ¹ , MA Hongsheng ¹ , LEI Wenzhang ² ,  SONG Yinghan ¹

1. Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

SONG Yinghan, Email: yinghan2222@163.com

Keywords：

Inguinal hernia repair; same-day surgery; the elderly; clinical practice; safety

DOI：

10.7507/1002-0179.202201001

Video：

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Objective To compare the postoperative outcomes of elderly and non-elderly patients undergoing inguinal hernia repair in same-day surgery mode, and explore the utility and safety of same-day surgery mode in inguinal hernia repair. Methods Patients who underwent inguinal hernia repair in Day Surgery Center, West China Hospital of Sichuan University between January 1st 2021 and October 31st 2021 were prospectively included. The patients were divided into elderly group (≥60 years old) and non-elderly group (18-59 years old). The preoperative conditions, postoperative outcomes, discharge readiness and social support of the two groups were analyzed. Results A total of 451 patients were enrolled, including 111 elderly patients and 340 non-elderly patients. The male proportion, prevalence rates of preoperative comorbidities, and bilateral inguinal hernia proportion in the elderly group were significantly higher than those in the non-elderly group (P<0.05), and the body mass index in the elderly group were significantly lower than that in the non-elderly group (P<0.05). There was no significant difference in anesthesia method, analgesic method, bleeding volume, or surgery time between the two groups (P>0.05). The postoperative pain score of the non-elderly group was higher than that in the elderly group (Z=–2.226, P=0.026), but there was no statistically significant difference in the rate of postoperative unplanned analgesia, rate of discharge delay, pain score on the third day after discharge, re-consultation within one month after discharge, complications within one month after discharge, or post-discharge satisfaction (P>0.05). The total score of social support was higher in the elderly group than that in the non-elderly group (31.77±3.04 vs. 29.75±4.78; t=4.182, P<0.001). Conclusion The same-day surgery mode for inguinal hernia repair is feasible and safe in elderly patients and worthy of implementation.

Citation： QIN Lang, ZHAO Rui, WAN Qianyi, LIU Qian, HUANG Mingjun, DAI Yan, MA Hongsheng, LEI Wenzhang, SONG Yinghan. Clinical practice and safety evaluation of same-day surgery mode for inguinal hernia repair in elderly patients. West China Medical Journal, 2023, 38(2): 201-205. doi: 10.7507/1002-0179.202201001 Copy

1.	Ojo EO. Day case surgery and developing countries: a review. Niger J Clin Pract, 2010, 13(4): 459-466.
2.	Mitchell M. Literature review: home recovery following day surgery. Ambulat Surg J, 2013, 19(1): 13-27.
3.	Mitchell M. Home recovery following day surgery: a patient perspective. J Clin Nurs, 2015, 24(3/4): 415-427.
4.	Pereira L, Figueiredo-Braga M, Carvalho IP. Preoperative anxiety in ambulatory surgery: the impact of an empathic patient-centered approach on psychological and clinical outcomes. Patient Educ Couns, 2016, 99(5): 733-738.
5.	宁艳阳. 日间手术时间背后的质量角逐. 中国卫生, 2019(12): 86-88.
6.	Fischer S, Zechmeister-Koss I. Is day surgery safe? A systematic literature review. Eur Surg, 2014, 46(3): 103-112.
7.	白雪, 马洪升, 罗利. 中外日间手术发展对比研究及展望. 中国医院管理, 2014, 34(5): 35-37.
8.	陈双, 杨斌. 解读欧洲疝学会的《成人腹股沟疝治疗指南》. 外科理论与实践, 2010, 15(6): 668-670.
9.	蒋丽莎, 宋应寒, 马洪升. 中国日间手术未来发展愿景. 华西医学, 2021, 36(2): 141-143.
10.	刘文雅, 魏文斌, 宋旭东, 等. 老年性白内障日间手术临床路径模式效果分析. 中国医院管理, 2017, 37(9): 42-44.
11.	于丽华. 中国日间手术发展的历程与展望. 中国医院管理, 2016, 36(6): 16-18.
12.	朱宏, 黄鸿燕, 郑胄斌, 等. 日间手术的经济学评价研究综述. 卫生经济研究, 2021, 38(9): 25-28, 32.
13.	刘洋, 马洪升, 李志超, 等. 5520 例日间手术的安全和质量评价. 中国普外基础与临床杂志, 2015, 22(12): 1477-1481.
14.	雷甜甜, 梁鹏, 马洪升, 等. 四川大学华西医院日归手术管理实践. 广东医学, 2022, 43(10): 1222-1228.
15.	周义生, 丁焱, 朱承新, 等. 杭州市萧山区成人腹股沟疝流行病学调查及对策. 中华疝和腹壁外科杂志(电子版), 2016, 10(5): 385-386.
16.	戴燕, 黄明君. 日间手术护理管理的实践. 中国护理管理, 2021, 21(6): 951-956.
17.	刘洋, 张一敏, 王小成, 等. 四川大学华西医院日间手术出院后管理规范. 华西医学, 2019, 34(2): 137-139.
18.	冷远洪, 胥兰婷, 陈静, 等. 日间手术患者出院准备度与出院指导质量相关性分析. 医学信息, 2020, 33(21): 133-136.
19.	翟萌, 姜惠芬. 新冠病毒肺炎 COVID-19 的传播途径及预防和防护. 基因组学与应用生物学, 2020, 39(10): 4895-4898.
20.	马钰, 马蒙蒙, 罗业飞, 等. 广州市新型冠状病毒肺炎密切接触者感染危险因素分析. 中国公共卫生, 2020, 36(4): 507-511.
21.	黄迪, 黄子圣, 叶志东, 等. 新冠疫情影响下日间手术制度在乳腺外科住院模式中的应用与思. 广州医药, 2022, 53(5): 29-32.

1. Ojo EO. Day case surgery and developing countries: a review. Niger J Clin Pract, 2010, 13(4): 459-466.
2. Mitchell M. Literature review: home recovery following day surgery. Ambulat Surg J, 2013, 19(1): 13-27.
3. Mitchell M. Home recovery following day surgery: a patient perspective. J Clin Nurs, 2015, 24(3/4): 415-427.
4. Pereira L, Figueiredo-Braga M, Carvalho IP. Preoperative anxiety in ambulatory surgery: the impact of an empathic patient-centered approach on psychological and clinical outcomes. Patient Educ Couns, 2016, 99(5): 733-738.
5. 宁艳阳. 日间手术时间背后的质量角逐. 中国卫生, 2019(12): 86-88.
6. Fischer S, Zechmeister-Koss I. Is day surgery safe? A systematic literature review. Eur Surg, 2014, 46(3): 103-112.
7. 白雪, 马洪升, 罗利. 中外日间手术发展对比研究及展望. 中国医院管理, 2014, 34(5): 35-37.
8. 陈双, 杨斌. 解读欧洲疝学会的《成人腹股沟疝治疗指南》. 外科理论与实践, 2010, 15(6): 668-670.
9. 蒋丽莎, 宋应寒, 马洪升. 中国日间手术未来发展愿景. 华西医学, 2021, 36(2): 141-143.
10. 刘文雅, 魏文斌, 宋旭东, 等. 老年性白内障日间手术临床路径模式效果分析. 中国医院管理, 2017, 37(9): 42-44.
11. 于丽华. 中国日间手术发展的历程与展望. 中国医院管理, 2016, 36(6): 16-18.
12. 朱宏, 黄鸿燕, 郑胄斌, 等. 日间手术的经济学评价研究综述. 卫生经济研究, 2021, 38(9): 25-28, 32.
13. 刘洋, 马洪升, 李志超, 等. 5520 例日间手术的安全和质量评价. 中国普外基础与临床杂志, 2015, 22(12): 1477-1481.
14. 雷甜甜, 梁鹏, 马洪升, 等. 四川大学华西医院日归手术管理实践. 广东医学, 2022, 43(10): 1222-1228.
15. 周义生, 丁焱, 朱承新, 等. 杭州市萧山区成人腹股沟疝流行病学调查及对策. 中华疝和腹壁外科杂志(电子版), 2016, 10(5): 385-386.
16. 戴燕, 黄明君. 日间手术护理管理的实践. 中国护理管理, 2021, 21(6): 951-956.
17. 刘洋, 张一敏, 王小成, 等. 四川大学华西医院日间手术出院后管理规范. 华西医学, 2019, 34(2): 137-139.
18. 冷远洪, 胥兰婷, 陈静, 等. 日间手术患者出院准备度与出院指导质量相关性分析. 医学信息, 2020, 33(21): 133-136.
19. 翟萌, 姜惠芬. 新冠病毒肺炎 COVID-19 的传播途径及预防和防护. 基因组学与应用生物学, 2020, 39(10): 4895-4898.
20. 马钰, 马蒙蒙, 罗业飞, 等. 广州市新型冠状病毒肺炎密切接触者感染危险因素分析. 中国公共卫生, 2020, 36(4): 507-511.
21. 黄迪, 黄子圣, 叶志东, 等. 新冠疫情影响下日间手术制度在乳腺外科住院模式中的应用与思. 广州医药, 2022, 53(5): 29-32.

West China Medical Journal

Clinical practice and safety evaluation of same-day surgery mode for inguinal hernia repair in elderly patients

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