Abstract:

Objective

To summarize and analyze the key points of refined nursing intervention for patients with hiatal hernia during the perioperative period, and observe the application effect.

Methods

A retrospective analysis was conducted on the clinical data of 84 patients with hiatal hernia undergoing laparoscopic hiatal hernia repair at the Beijing Chao-Yang Hospital operation room from January to July 2023. The data of patients with unplanned surgical discontinuance, operation time, intraoperative blood loss, incidence of intraoperative hypothermia and stress injury, incidence of surgery-related complications,average length of stay after surgery and postoperative satisfaction were analyzed.

Results

All the 84 patients successfully completed laparoscopic surgery, with no conversion to laparotomy or no planned operation. The average operation time was (85.65±20.74) min, the intraoperative blood loss was(11.02±4.58) ml, no intraoperative hypothermia or pressure injury, no postoperative wound and mesh infection, hemopneumothorax, pulmonary infection, attasis or gastric motivation disturbance. The average length of stay was (4.51±1.38) d, and the satisfaction rate was 96.4% (81/84).

Conclusion

Adequate preoperative preparation, preventive measures, intraoperative fine coordination, and postoperative education can improve the efficiency of surgery, reduce the incidence of complications, and improve patient satisfaction.

Key words: Hiatal hernia, Laparoscopes, Refined nursing