Effect of transabdominal preperitoneal laparoscopic hernia repair by same<b>-</b>day surgery mode for patients with inguinal hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LUO Xue ¹ , SUN Yiyuan ^1,2 , MA Dongyang ^3,4 , MA Hongsheng ^1,2 , ZHAO Xiaoyan ^1,2 ,  SONG Yinghan ^2,4

1. Day Surgery Center, West China Tianfu Hospital, Sichuan University, Chengdu 610213, P. R. China;
2. Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
3. Division of Gastrointestinal Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
4. Department of Gastrointestinal Hernia, West China Tianfu Hospital, Sichuan University, Chengdu 610213, P. R. China;

Corresponding?author：

SONG Yinghan, Email: yinghan2222@163.com

Keywords：

inguinal hernia; same-day surgery; transabdominal preperitoneal hernia repair; laparoscope; safety

DOI：

10.7507/1007-9424.202312087

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Objective To observe the effect of transabdominal preperitoneal (TAPP) laparoscopic hernia repair by same-day surgery mode for patients with inguinal hernia. Methods The patients who underwent TAPP laparoscopic hernia repair were retrospectively collected in the Day Surgery Center of West China Tianfu Hospital from July 2022 to June 2023. All patients in this study were admitted according to the same-day surgery plan, and those who were admitted to the hospital on the same day, operated on the same day, and returned to their homes on the same day, i.e., those who did not stay in the hospital overnight (the same-day surgery plan of the West China Tianfu Hospital of Sichuan University is now basically in the range of 8∶00–20∶00, and the latest discharge is at 21∶00) were classified as the same-day surgery group; however, the patients whose special cases needed to be postponed due to the condition of their illnesses, or those who were discharged from the hospital after 21∶00 due to safety considerations because of other reasons such as postoperative observation of patients with general anesthesia for a period of less than 2–4 h, or those who had a strong desire to be admitted to the hospital overnight, and whose hospital stay was not more than 24 h, were classified as the non-same-day surgery group. The age, gender, marital status, body mass index, hernia type, surgical site, home address, intraoperative bleeding, operative time, total hospitalization cost, pain score at discharge, unplanned revisit rate within 30 d after surgery, discharge satisfaction were compared between the patients of two groups. Results A total of 167 patients underwent TAPP laparoscopic hernia repair were enrolled in this study, including 97 in the same-day surgery group and 70 in the non-same-day surgery group. There were no statistically significant differences in the age, gender, marital status, body mass index, hernia type, surgical site, intraoperative bleeding, operative time, and total hospitalization cost between the two groups (P>0.05). However, it was found that the patients in the non-same-day surgery group had a higher pain score at discharge and a higher proportion of home address outside Chengdu city as compared with the same-day surgery group (P=0.042, P<0.001, respectively); The satisfaction rate of all patients in this group was 100% on the 28th day after discharge, and the unplanned revisit rate within 30 d after surgery was 3.6% (6/167), although which in the same-day surgery group was slightly higher than the non-same-day surgery group, the difference was not statistically significant by Fisher test [4.1% (4/97) versus 2.9% (2/70), P=0.226]. Conclusion From the analysis results of this study, TAPP laparoscopic hernia repair for patients with inguinal hernia by the same-day surgery mode is safe, and it can further shorten the hospitalization time as compared with the non-same-day surgery.

Citation： LUO Xue, SUN Yiyuan, MA Dongyang, MA Hongsheng, ZHAO Xiaoyan, SONG Yinghan. Effect of transabdominal preperitoneal laparoscopic hernia repair by same-day surgery mode for patients with inguinal hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(6): 706-711. doi: 10.7507/1007-9424.202312087 Copy

1.	錢宏美, 陳志永. 腹腔鏡經腹腹膜前疝修補術在成人腹股溝嵌頓疝中的應用. 現代醫學, 2022, 50(10): 1302-1305.
2.	Chen LS, Chen WC, Kang YN, et al. Effects of transabdominal preperitoneal and totally extraperitoneal inguinal hernia repair: an update systematic review and meta-analysis of randomized controlled trials. Surg Endosc, 2019, 33(2): 418-428.
3.	Bansal VK, Misra MC, Babu D, et al. A prospective, randomized comparison of long-term outcomes: chronic groin pain and quality of life following totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair. Surg Endosc, 2013, 27(7): 2373-2382.
4.	The HerniaSurge Group. International guidelines for groin hernia management. Hernia, 2018, 22(1): 1-165.
5.	國際日間手術學會. 日間手術手冊. 北京: 人民衛生出版社, 2015.
6.	俞德梁, 寧鵬濤, 王娟, 等. 關于日間手術定義與首批推薦適宜手術的思考. 醫學與哲學, 2015, 36(24): 5-7, 14.
7.	蔣麗莎, 馬洪升. 日歸手術—中國日間手術的升華. 華西醫學, 2022, 37(2): 161-164.
8.	蔣麗莎, 宋應寒, 馬洪升. 中國日間手術未來發展愿景. 華西醫學, 2021, 36(2): 141-143.
9.	雷甜甜, 梁鵬, 馬洪升, 等. 四川大學華西醫院日歸手術管理實踐. 廣東醫學, 2022, 43(10): 1222-1228.
10.	Friedlander DF, Krimphove MJ, Cole AP, et al. Where is the value in ambulatory versus inpatient surgery?. Ann Surg, 2021, 273(5): 909-916.
11.	熊桓, 趙曉燕, 江瑞連, 等. 日歸手術非計劃過夜恢復原因分析. 華西醫學, 2024, 39(2): 178-183.
12.	李瑞斌, 吳攀, 萬智恒. 經腹腹膜前腹腔鏡腹股溝疝修補術在腹股溝疝無張力修補中的應用. 中國普通外科雜志, 2020, 29(10): 1275-1279.
13.	中國醫師協會外科醫師分會疝和腹壁外科學組, 中華醫學會外科學分會疝與腹壁外科學組, 全國衛生產業企業管理協會疝和腹壁外科產業及臨床研究分會, 等. 腹股溝疝日間手術規范化流程專家共識(2020版). 中華消化外科雜志, 2020, 19(7): 714-719.
14.	馬洪升, 蔣麗莎. 日歸手術管理與實踐. 成都: 四川科學技術出版社, 2023: 219.
15.	歐陽劍波, 黃耿文, 何文, 等. 多學科合作快速康復外科理念在腹腔鏡腹股溝疝修補術圍手術期的應用. 中國普通外科雜志, 2017, 26(4): 506-513.
16.	國務院辦公廳. 國務院辦公廳關于印發深化醫藥衛生體制改革2022年重點工作任務的通知: 國辦發[2022]14號. (2022-05-04) [2022-11-03]. http://www.gov.cn/zhengce/content/2022-05/25/content_5692209.htm.
17.	鄧先銳, 鄭磊, 徐通海, 等. 日間手術模式在腹股溝疝修補術中的應用價值. 中華消化外科雜志, 2023, 22(9): 1075-1079.
18.	寧彩虹, 黃耿文, 林嘉晏, 等. 腹腔鏡經腹腹膜前疝修補日間手術的臨床價值分析. 中國普通外科雜志, 2021, 30(4): 399-405.
19.	吳佳男. 從“日間”到“日歸” : 精益手術更進一步. 中國醫院院長, 2021, (18): 48-49.
20.	馬慶鑫, 張磊, 蔣麗莎, 等. 基于臨床路徑的中心式日間手術管理實踐. 華西醫學, 2021, 36(7): 954-958.
21.	陳德鍵, 繆傳文, 黃陳, 等. 臨床路徑應用于日間腹股溝疝腹腔鏡手術的效果分析. 中國衛生質量管理, 2021, 28(4): 8-11.
22.	中華醫學會外科學分會疝與腹壁外科學組, 中華醫學會外科學分會腹腔鏡與內鏡外科學組, 大中華腔鏡疝外科學院. 腹腔鏡腹股溝疝手術操作指南(2017版). 中華疝和腹壁外科雜志(電子版), 2017, 11(6): 401-406.
23.	侯海生, 楊利, 閆小偉. 腹腔鏡腹股溝疝修補應用輕質3D Max補片與普通補片的效果比較. 中國組織工程研究, 2020, 24(28): 4588-4592.
24.	高峰, 趙明一, 林俊青, 等. 腹腔鏡TAPP與開放TIPP修補腹股溝疝后患者疼痛及異物感的比較. 國際外科學雜志, 2019, 46(5): 311-314.
25.	呂子寧, 劉洋, 梁鵬. 個體化的加速康復外科理念在日歸手術麻醉中的應用. 華西醫學, 2022, 37(2): 262-266.
26.	Rae A. Reasons for delayed patient discharge following day surgery: a literature review. Nurs Stand, 2016, 31(11): 42-51.
27.	劉茜, 戴燕, 雷甜甜, 等. 加速康復外科模式下成人腹股溝疝修補術日歸手術的應用效果分析. 華西醫學, 2023, 38(2): 196-200.

1. 錢宏美, 陳志永. 腹腔鏡經腹腹膜前疝修補術在成人腹股溝嵌頓疝中的應用. 現代醫學, 2022, 50(10): 1302-1305.
2. Chen LS, Chen WC, Kang YN, et al. Effects of transabdominal preperitoneal and totally extraperitoneal inguinal hernia repair: an update systematic review and meta-analysis of randomized controlled trials. Surg Endosc, 2019, 33(2): 418-428.
3. Bansal VK, Misra MC, Babu D, et al. A prospective, randomized comparison of long-term outcomes: chronic groin pain and quality of life following totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair. Surg Endosc, 2013, 27(7): 2373-2382.
4. The HerniaSurge Group. International guidelines for groin hernia management. Hernia, 2018, 22(1): 1-165.
5. 國際日間手術學會. 日間手術手冊. 北京: 人民衛生出版社, 2015.
6. 俞德梁, 寧鵬濤, 王娟, 等. 關于日間手術定義與首批推薦適宜手術的思考. 醫學與哲學, 2015, 36(24): 5-7, 14.
7. 蔣麗莎, 馬洪升. 日歸手術—中國日間手術的升華. 華西醫學, 2022, 37(2): 161-164.
8. 蔣麗莎, 宋應寒, 馬洪升. 中國日間手術未來發展愿景. 華西醫學, 2021, 36(2): 141-143.
9. 雷甜甜, 梁鵬, 馬洪升, 等. 四川大學華西醫院日歸手術管理實踐. 廣東醫學, 2022, 43(10): 1222-1228.
10. Friedlander DF, Krimphove MJ, Cole AP, et al. Where is the value in ambulatory versus inpatient surgery?. Ann Surg, 2021, 273(5): 909-916.
11. 熊桓, 趙曉燕, 江瑞連, 等. 日歸手術非計劃過夜恢復原因分析. 華西醫學, 2024, 39(2): 178-183.
12. 李瑞斌, 吳攀, 萬智恒. 經腹腹膜前腹腔鏡腹股溝疝修補術在腹股溝疝無張力修補中的應用. 中國普通外科雜志, 2020, 29(10): 1275-1279.
13. 中國醫師協會外科醫師分會疝和腹壁外科學組, 中華醫學會外科學分會疝與腹壁外科學組, 全國衛生產業企業管理協會疝和腹壁外科產業及臨床研究分會, 等. 腹股溝疝日間手術規范化流程專家共識(2020版). 中華消化外科雜志, 2020, 19(7): 714-719.
14. 馬洪升, 蔣麗莎. 日歸手術管理與實踐. 成都: 四川科學技術出版社, 2023: 219.
15. 歐陽劍波, 黃耿文, 何文, 等. 多學科合作快速康復外科理念在腹腔鏡腹股溝疝修補術圍手術期的應用. 中國普通外科雜志, 2017, 26(4): 506-513.
16. 國務院辦公廳. 國務院辦公廳關于印發深化醫藥衛生體制改革2022年重點工作任務的通知: 國辦發[2022]14號. (2022-05-04) [2022-11-03]. http://www.gov.cn/zhengce/content/2022-05/25/content_5692209.htm.
17. 鄧先銳, 鄭磊, 徐通海, 等. 日間手術模式在腹股溝疝修補術中的應用價值. 中華消化外科雜志, 2023, 22(9): 1075-1079.
18. 寧彩虹, 黃耿文, 林嘉晏, 等. 腹腔鏡經腹腹膜前疝修補日間手術的臨床價值分析. 中國普通外科雜志, 2021, 30(4): 399-405.
19. 吳佳男. 從“日間”到“日歸” : 精益手術更進一步. 中國醫院院長, 2021, (18): 48-49.
20. 馬慶鑫, 張磊, 蔣麗莎, 等. 基于臨床路徑的中心式日間手術管理實踐. 華西醫學, 2021, 36(7): 954-958.
21. 陳德鍵, 繆傳文, 黃陳, 等. 臨床路徑應用于日間腹股溝疝腹腔鏡手術的效果分析. 中國衛生質量管理, 2021, 28(4): 8-11.
22. 中華醫學會外科學分會疝與腹壁外科學組, 中華醫學會外科學分會腹腔鏡與內鏡外科學組, 大中華腔鏡疝外科學院. 腹腔鏡腹股溝疝手術操作指南(2017版). 中華疝和腹壁外科雜志(電子版), 2017, 11(6): 401-406.
23. 侯海生, 楊利, 閆小偉. 腹腔鏡腹股溝疝修補應用輕質3D Max補片與普通補片的效果比較. 中國組織工程研究, 2020, 24(28): 4588-4592.
24. 高峰, 趙明一, 林俊青, 等. 腹腔鏡TAPP與開放TIPP修補腹股溝疝后患者疼痛及異物感的比較. 國際外科學雜志, 2019, 46(5): 311-314.
25. 呂子寧, 劉洋, 梁鵬. 個體化的加速康復外科理念在日歸手術麻醉中的應用. 華西醫學, 2022, 37(2): 262-266.
26. Rae A. Reasons for delayed patient discharge following day surgery: a literature review. Nurs Stand, 2016, 31(11): 42-51.
27. 劉茜, 戴燕, 雷甜甜, 等. 加速康復外科模式下成人腹股溝疝修補術日歸手術的應用效果分析. 華西醫學, 2023, 38(2): 196-200.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Effect of transabdominal preperitoneal laparoscopic hernia repair by same-day surgery mode for patients with inguinal hernia

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