To evaluate the clinical outcomes and feasibility of inguinal hernia ring filling day surgery in primary hospital.

The clinical data and follow-up data of 243 patients admitted to Department of General Surgery of Beijing Shuangqiao hospital in Chaoyang District who underwent ring filling inguinal hernia repair from January 2008 to January 2020 were collected and analyzed retrospectively. We analyzed the operation situation, postoperative recovery of spontaneous activity, postoperative recurrence and other complications, including scrotal hematoma, urinary retention, local foreign body sensation, chronic pain and wound/mesh infection, to evaluate the clinical efficacy and summarize the experience.

All the 243 patients underwent tension-free ring filling hernia repair successfully. The operation time was 30to 80 minutes, with an average of (38±16) minutes. Blood loss ranged from 1 to 10 ml, with an average of (5±2) ml. The recovery time of spontaneous activity after operation was 2~15 hours, with an average of (4±3) hours. The length of hospital stay was 1 to 2 days. 178 patients were discharged within 48 hours after admission and the rest were discharged within 24 hours after admission. After 12 months of follow-up, 2 patients (0.8%) had hernia recurrence, 2 patients (0.8%) had scrotal hematoma, 11 patients (4.5%) had urinary retention, 12 patients (4.9%) had local foreign body sensation, 6 patients (2.5%) had chronic pain, 4 patients (1.6%) had incision infection, and 1 patient (0.4%) had mesh infection.

Ring filling day surgery for inguinal hernia has reliable curative effect and low complication rate, which is suitable for primary hospitals.