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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2021, Vol. 15 ›› Issue (01): 19-21. doi: 10.3877/cma.j.issn.1674-392X.2021.01.005

Special Issue:

• Clinical Article • Previous Articles     Next Articles

Clinical benefits analysis of day surgery for laparoscopic inguinal herniorrhaphy

Weiming Li1, Qingwen Xu1, Yijun Li1, Yanbo Sun1, Dali Sun1, Pengyuan Xu1, Yunyun Cen1, Lili Ding2,()   

  1. 1. Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China
    2. Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China
  • Received:2019-05-04 Online:2021-02-18 Published:2021-04-26
  • Contact: Lili Ding

Abstract:

Objective

To compare the clinical benefits of laparoscopic inguinal herniorrhaphy between day surgery mode and inpatient surgery mode.

Methods

A total of 120 cases of unilateral inguinal hernia who treated in Second Affiliated Hospital of Kunming Medical University from January 2017 to December 2017 were collected prospectively, and they were randomly divided into 2 groups: day surgery group (60 cases) and inpatient surgery group (60 cases). The operative time, blood loss, postoperative ambulation time, incidence of urinary retention, incidence of scrotal effusion, incidence of foreign body sensation, incidence of total complications, medical expenses and satisfaction between the two groups were compared.

Results

The operation was successfully completed in both groups. No recurrence was found during 6 months follow-up. There were no significant differences in operation time, intraoperative bleeding volume, postoperative ambulation time, incidence of urinary retention, incidence of scrotal effusion, incidence of foreign body sensation, and incidence of total complications between the two groups (P>0.05). However, the duration of hospitalization in the day surgery group was shorter than that in the inpatient surgery group (P<0.05). The total cost of hospitalization in the day surgery group was lower than that in the inpatient surgery group (P<0.05), and the score of satisfaction in the day surgery group was significantly better than that in the inpatient surgery group (P<0.05).

Conclusion

Laparoscopic inguinal herniorrhaphy in the day surgery mode is safe and effective, and can reduce the total cost, speed up turnover rate, improve the utilization of medical resources, and improve patient satisfaction.

Key words: Laparoscopes, Hernia, inguinal, Herniorrhaphy, Day surgery, Inpatient surgery, Benefits analysis, Randomized

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