Effect of transabdominal preperitoneal laparoscopic hernia repair by same<b>-</b>day surgery mode for patients with inguinal hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LUO Xue ¹ , SUN Yiyuan ^1,2 , MA Dongyang ^3,4 , MA Hongsheng ^1,2 , ZHAO Xiaoyan ^1,2 ,  SONG Yinghan ^2,4

1. Day Surgery Center, West China Tianfu Hospital, Sichuan University, Chengdu 610213, P. R. China;
2. Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
3. Division of Gastrointestinal Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
4. Department of Gastrointestinal Hernia, West China Tianfu Hospital, Sichuan University, Chengdu 610213, P. R. China;

Corresponding author：

SONG Yinghan, Email: yinghan2222@163.com

Keywords：

inguinal hernia; same-day surgery; transabdominal preperitoneal hernia repair; laparoscope; safety

DOI：

10.7507/1007-9424.202312087

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Objective To observe the effect of transabdominal preperitoneal (TAPP) laparoscopic hernia repair by same-day surgery mode for patients with inguinal hernia. Methods The patients who underwent TAPP laparoscopic hernia repair were retrospectively collected in the Day Surgery Center of West China Tianfu Hospital from July 2022 to June 2023. All patients in this study were admitted according to the same-day surgery plan, and those who were admitted to the hospital on the same day, operated on the same day, and returned to their homes on the same day, i.e., those who did not stay in the hospital overnight (the same-day surgery plan of the West China Tianfu Hospital of Sichuan University is now basically in the range of 8∶00–20∶00, and the latest discharge is at 21∶00) were classified as the same-day surgery group; however, the patients whose special cases needed to be postponed due to the condition of their illnesses, or those who were discharged from the hospital after 21∶00 due to safety considerations because of other reasons such as postoperative observation of patients with general anesthesia for a period of less than 2–4 h, or those who had a strong desire to be admitted to the hospital overnight, and whose hospital stay was not more than 24 h, were classified as the non-same-day surgery group. The age, gender, marital status, body mass index, hernia type, surgical site, home address, intraoperative bleeding, operative time, total hospitalization cost, pain score at discharge, unplanned revisit rate within 30 d after surgery, discharge satisfaction were compared between the patients of two groups. Results A total of 167 patients underwent TAPP laparoscopic hernia repair were enrolled in this study, including 97 in the same-day surgery group and 70 in the non-same-day surgery group. There were no statistically significant differences in the age, gender, marital status, body mass index, hernia type, surgical site, intraoperative bleeding, operative time, and total hospitalization cost between the two groups (P>0.05). However, it was found that the patients in the non-same-day surgery group had a higher pain score at discharge and a higher proportion of home address outside Chengdu city as compared with the same-day surgery group (P=0.042, P<0.001, respectively); The satisfaction rate of all patients in this group was 100% on the 28th day after discharge, and the unplanned revisit rate within 30 d after surgery was 3.6% (6/167), although which in the same-day surgery group was slightly higher than the non-same-day surgery group, the difference was not statistically significant by Fisher test [4.1% (4/97) versus 2.9% (2/70), P=0.226]. Conclusion From the analysis results of this study, TAPP laparoscopic hernia repair for patients with inguinal hernia by the same-day surgery mode is safe, and it can further shorten the hospitalization time as compared with the non-same-day surgery.

Citation： LUO Xue, SUN Yiyuan, MA Dongyang, MA Hongsheng, ZHAO Xiaoyan, SONG Yinghan. Effect of transabdominal preperitoneal laparoscopic hernia repair by same-day surgery mode for patients with inguinal hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(6): 706-711. doi: 10.7507/1007-9424.202312087 Copy

1.	钱宏美, 陈志永. 腹腔镜经腹腹膜前疝修补术在成人腹股沟嵌顿疝中的应用. 现代医学, 2022, 50(10): 1302-1305.
2.	Chen LS, Chen WC, Kang YN, et al. Effects of transabdominal preperitoneal and totally extraperitoneal inguinal hernia repair: an update systematic review and meta-analysis of randomized controlled trials. Surg Endosc, 2019, 33(2): 418-428.
3.	Bansal VK, Misra MC, Babu D, et al. A prospective, randomized comparison of long-term outcomes: chronic groin pain and quality of life following totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair. Surg Endosc, 2013, 27(7): 2373-2382.
4.	The HerniaSurge Group. International guidelines for groin hernia management. Hernia, 2018, 22(1): 1-165.
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6.	俞德梁, 宁鹏涛, 王娟, 等. 关于日间手术定义与首批推荐适宜手术的思考. 医学与哲学, 2015, 36(24): 5-7, 14.
7.	蒋丽莎, 马洪升. 日归手术—中国日间手术的升华. 华西医学, 2022, 37(2): 161-164.
8.	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.
9.	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.
10.	Friedlander DF, Krimphove MJ, Cole AP, et al. Where is the value in ambulatory versus inpatient surgery?. Ann Surg, 2021, 273(5): 909-916.
11.	熊桓, 赵晓燕, 江瑞连, 等. 日归手术非计划过夜恢复原因分析. 华西医学, 2024, 39(2): 178-183.
12.	李瑞斌, 吴攀, 万智恒. 经腹腹膜前腹腔镜腹股沟疝修补术在腹股沟疝无张力修补中的应用. 中国普通外科杂志, 2020, 29(10): 1275-1279.
13.	中国医师协会外科医师分会疝和腹壁外科学组, 中华医学会外科学分会疝与腹壁外科学组, 全国卫生产业企业管理协会疝和腹壁外科产业及临床研究分会, 等. 腹股沟疝日间手术规范化流程专家共识(2020版). 中华消化外科杂志, 2020, 19(7): 714-719.
14.	马洪升, 蒋丽莎. 日归手术管理与实践. 成都: 四川科学技术出版社, 2023: 219.
15.	欧阳剑波, 黄耿文, 何文, 等. 多学科合作快速康复外科理念在腹腔镜腹股沟疝修补术围手术期的应用. 中国普通外科杂志, 2017, 26(4): 506-513.
16.	国务院办公厅. 国务院办公厅关于印发深化医药卫生体制改革2022年重点工作任务的通知: 国办发[2022]14号. (2022-05-04) [2022-11-03]. http://www.gov.cn/zhengce/content/2022-05/25/content_5692209.htm.
17.	邓先锐, 郑磊, 徐通海, 等. 日间手术模式在腹股沟疝修补术中的应用价值. 中华消化外科杂志, 2023, 22(9): 1075-1079.
18.	宁彩虹, 黄耿文, 林嘉晏, 等. 腹腔镜经腹腹膜前疝修补日间手术的临床价值分析. 中国普通外科杂志, 2021, 30(4): 399-405.
19.	吴佳男. 从“日间”到“日归” : 精益手术更进一步. 中国医院院长, 2021, (18): 48-49.
20.	马庆鑫, 张磊, 蒋丽莎, 等. 基于临床路径的中心式日间手术管理实践. 华西医学, 2021, 36(7): 954-958.
21.	陈德键, 缪传文, 黄陈, 等. 临床路径应用于日间腹股沟疝腹腔镜手术的效果分析. 中国卫生质量管理, 2021, 28(4): 8-11.
22.	中华医学会外科学分会疝与腹壁外科学组, 中华医学会外科学分会腹腔镜与内镜外科学组, 大中华腔镜疝外科学院. 腹腔镜腹股沟疝手术操作指南(2017版). 中华疝和腹壁外科杂志(电子版), 2017, 11(6): 401-406.
23.	侯海生, 杨利, 闫小伟. 腹腔镜腹股沟疝修补应用轻质3D Max补片与普通补片的效果比较. 中国组织工程研究, 2020, 24(28): 4588-4592.
24.	高峰, 赵明一, 林俊青, 等. 腹腔镜TAPP与开放TIPP修补腹股沟疝后患者疼痛及异物感的比较. 国际外科学杂志, 2019, 46(5): 311-314.
25.	吕子宁, 刘洋, 梁鹏. 个体化的加速康复外科理念在日归手术麻醉中的应用. 华西医学, 2022, 37(2): 262-266.
26.	Rae A. Reasons for delayed patient discharge following day surgery: a literature review. Nurs Stand, 2016, 31(11): 42-51.
27.	刘茜, 戴燕, 雷甜甜, 等. 加速康复外科模式下成人腹股沟疝修补术日归手术的应用效果分析. 华西医学, 2023, 38(2): 196-200.

1. 钱宏美, 陈志永. 腹腔镜经腹腹膜前疝修补术在成人腹股沟嵌顿疝中的应用. 现代医学, 2022, 50(10): 1302-1305.
2. Chen LS, Chen WC, Kang YN, et al. Effects of transabdominal preperitoneal and totally extraperitoneal inguinal hernia repair: an update systematic review and meta-analysis of randomized controlled trials. Surg Endosc, 2019, 33(2): 418-428.
3. Bansal VK, Misra MC, Babu D, et al. A prospective, randomized comparison of long-term outcomes: chronic groin pain and quality of life following totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair. Surg Endosc, 2013, 27(7): 2373-2382.
4. The HerniaSurge Group. International guidelines for groin hernia management. Hernia, 2018, 22(1): 1-165.
5. 国际日间手术学会. 日间手术手册. 北京: 人民卫生出版社, 2015.
6. 俞德梁, 宁鹏涛, 王娟, 等. 关于日间手术定义与首批推荐适宜手术的思考. 医学与哲学, 2015, 36(24): 5-7, 14.
7. 蒋丽莎, 马洪升. 日归手术—中国日间手术的升华. 华西医学, 2022, 37(2): 161-164.
8. 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.
9. 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.
10. Friedlander DF, Krimphove MJ, Cole AP, et al. Where is the value in ambulatory versus inpatient surgery?. Ann Surg, 2021, 273(5): 909-916.
11. 熊桓, 赵晓燕, 江瑞连, 等. 日归手术非计划过夜恢复原因分析. 华西医学, 2024, 39(2): 178-183.
12. 李瑞斌, 吴攀, 万智恒. 经腹腹膜前腹腔镜腹股沟疝修补术在腹股沟疝无张力修补中的应用. 中国普通外科杂志, 2020, 29(10): 1275-1279.
13. 中国医师协会外科医师分会疝和腹壁外科学组, 中华医学会外科学分会疝与腹壁外科学组, 全国卫生产业企业管理协会疝和腹壁外科产业及临床研究分会, 等. 腹股沟疝日间手术规范化流程专家共识(2020版). 中华消化外科杂志, 2020, 19(7): 714-719.
14. 马洪升, 蒋丽莎. 日归手术管理与实践. 成都: 四川科学技术出版社, 2023: 219.
15. 欧阳剑波, 黄耿文, 何文, 等. 多学科合作快速康复外科理念在腹腔镜腹股沟疝修补术围手术期的应用. 中国普通外科杂志, 2017, 26(4): 506-513.
16. 国务院办公厅. 国务院办公厅关于印发深化医药卫生体制改革2022年重点工作任务的通知: 国办发[2022]14号. (2022-05-04) [2022-11-03]. http://www.gov.cn/zhengce/content/2022-05/25/content_5692209.htm.
17. 邓先锐, 郑磊, 徐通海, 等. 日间手术模式在腹股沟疝修补术中的应用价值. 中华消化外科杂志, 2023, 22(9): 1075-1079.
18. 宁彩虹, 黄耿文, 林嘉晏, 等. 腹腔镜经腹腹膜前疝修补日间手术的临床价值分析. 中国普通外科杂志, 2021, 30(4): 399-405.
19. 吴佳男. 从“日间”到“日归” : 精益手术更进一步. 中国医院院长, 2021, (18): 48-49.
20. 马庆鑫, 张磊, 蒋丽莎, 等. 基于临床路径的中心式日间手术管理实践. 华西医学, 2021, 36(7): 954-958.
21. 陈德键, 缪传文, 黄陈, 等. 临床路径应用于日间腹股沟疝腹腔镜手术的效果分析. 中国卫生质量管理, 2021, 28(4): 8-11.
22. 中华医学会外科学分会疝与腹壁外科学组, 中华医学会外科学分会腹腔镜与内镜外科学组, 大中华腔镜疝外科学院. 腹腔镜腹股沟疝手术操作指南(2017版). 中华疝和腹壁外科杂志(电子版), 2017, 11(6): 401-406.
23. 侯海生, 杨利, 闫小伟. 腹腔镜腹股沟疝修补应用轻质3D Max补片与普通补片的效果比较. 中国组织工程研究, 2020, 24(28): 4588-4592.
24. 高峰, 赵明一, 林俊青, 等. 腹腔镜TAPP与开放TIPP修补腹股沟疝后患者疼痛及异物感的比较. 国际外科学杂志, 2019, 46(5): 311-314.
25. 吕子宁, 刘洋, 梁鹏. 个体化的加速康复外科理念在日归手术麻醉中的应用. 华西医学, 2022, 37(2): 262-266.
26. Rae A. Reasons for delayed patient discharge following day surgery: a literature review. Nurs Stand, 2016, 31(11): 42-51.
27. 刘茜, 戴燕, 雷甜甜, 等. 加速康复外科模式下成人腹股沟疝修补术日归手术的应用效果分析. 华西医学, 2023, 38(2): 196-200.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Effect of transabdominal preperitoneal laparoscopic hernia repair by same-day surgery mode for patients with inguinal hernia

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