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;
SONG Yinghan, Email: yinghan2222@163.com
Inguinal hernia repair; same-day surgery; the elderly; clinical practice; safety
10.7507/1002-0179.202201001
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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

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