To investigate the clinical effect of the inguinal hernia surgery in day surgery mode.

The clinical data and postoperative follow-up data of 1512 patients underwent inguinal hernia repair in the Department of Hernia and Abdominal Wall Surgery in the Central Hospital of Wuhan from June 1, 2020 to May 31, 2021 were included. 1052 patients underwent day surgery and 460 patients underwent general surgery. Day surgery group and conventional surgery group were named according to different treatment methods. The length of hospital stay and hospitalization expenses of patients in the two groups were analyzed and compared. The common postoperative complications of the patients in the two groups were statistically analyzed, including fever, nausea and vomiting, bleeding, fatty liquefaction, seroma, ecchymosis, wound dehiscence, infection and recurrence. The postoperative pain changes of patients were analyzed in 1 week, 1 month and 3 months.

Patients in the day surgery group had significantly shorter hospital stays (TEP: 22.62±2.1 h vs 28.10±2.3 h; Lichtenstein under local anesthesia: 23.55±1.6 h vs 31.76±8.2 h) and lower hospitalization costs (TEP: 13572±381.68 yuan vs 15176±329.81 yuan; Lichtenstein under local anesthesia: 8974±149.32 yuan vs 9782±134.27 yuan) compared to the conventional surgery group (P<0.05). There was no significant difference in the occurrence of common postoperative complications between the two groups (P>0.05). Compared with the conventional surgery group, patients in the day surgery group had a lower probability of postoperative pain and recovered more quickly in 1 week (1.69±0.46 vs 2.17±0.51), 1month (1.06±0.38 vs 1.74±0.89) and 3months (0.51±0.37 vs 1.13±0.81) (P<0.05).

It is safe and feasible to carry out inguinal hernia surgery in day surgery, that could reduce the patient's hospital stay and costs, significantly alleviate postoperative pain, promote better and faster recovery of patients.