To explore the effect on the surgical indexes and postoperative pain of patients undergoing tension-free inguinal hernia repair by nursing based on the concept of enhanced recovery after surgery (ERAS).

One hundred and seven patients with inguinal hernia treated in the operating room of high-tech zone of Lianyungang First People's hospital from January 2018 to March 2019 were randomly divided into the observation group (54 cases) and the control group (53 cases). All patients were treated with laparoscopic tension-free inguinal hernia repair. The control group was given routine nursing and the observation group was given nursing based on concept of ERAS. The operation indexes, gastrointestinal function recovery time, ambulation time, visual analogue scale (VAS) and adverse reactions in the two groups were observed and compared.

There were no statistical differences in the operation time, intraoperative blood loss and hospitalization time between the two groups (P>0.05). The recovery time of bowel sounds, anal exhaust time, eating time and ambulation time in the observation group were shorter than those in the control group (P<0.05). At 24 hours and 48 hours after operation, the scores of VAS of patients in the observation group were significantly lower than those in the control group (P<0.05). The number of adverse reactions in the observation group was significantly lower than that in the control group (5.56% vs. 18.87%) (P<0.05).

Nursing based on ERAS concept has high application value for patients undergoing tension-free inguinal hernia repair. It can effectively control postoperative pain and complications, and promote rapid recovery of patients. It is worthy of clinical application.