To summarized the perioperative management measures and main postoperative data of the one-stage surgery of congenital heart disease (CHD) with inguinal hernia.

We analyzed the data of the children (n=11) who received one-stage surgery of CHD and indirect inguinal hernia in Children's hospital of capital institute of pediatrics from June 2015 to December 2019. All of the 11 children were boys, with a median age of 23 months (18.5 to 26.5 months) and a weight of 11.5 kg (9.3 to 13.3 kg). The total operation time, the ventilator assistance time, ICU stay time, wound healing and complications, postoperative gastrointestinal decompression, total hospitalization time, and total hospitalization cost were record.

The median operation time was 200 minutes (193 to 225 minutes). The ventilator assistance time was 5 hours (4 to 7 hours). And the ICU stay time was 21 hours (21 to 33 hours), postoperative gastrointestinal decompression was 19 hours (18 to 22 hours). The total hospitalization time was 12 days (9 to 14 days), and total hospitalization cost was 52 348 yuan (45 821 to 56 817 yuan). One patient had the ventilator assistance time more than 24 hours and the ICU stay time was more than 48 hours, the hospitalization time was more than 14 days, and the cost was more than 100 000 CNY. All the surgical incisions healed in Grade A.

With the support of multi-disciplinary team and the premise of preoperative evaluation, the one-stage surgery of congenital heart disease with inguinal hernia is safe and feasible, and it is worthy of clinical application.