Enhanced recovery after surgery on daytime surgery among elderly patients with inguinal hernia repair

Abstract

Objective To investigate the application value of enhanced recovery after surgery on daytime surgery among elderly patients with open tension-free inguinal hernia repair. Methods The clinical data of 80 elderly patients with inguinal hernia who underwent tension-free hernioplasty in Shaoxing People's Hospital from July 2017 to June 2016 were included in this prospective randomized controlled study. The 80 patients were randomly divided into experimental group and control group. The experimental group were treated with ERAS planning during peri-operation. The control group were treated with the management of daytime surgery. The incidence of complications postoperative recovery and medical economics indices were compared between the two groups. Results In the end, there were 37 patients in the experimental group and 38 patients in the control group completed the experiment. The incident rates of nausea and emesis, incision pain at the 6 hours post-operation were significantly lower in the experiment group compared with the control group (P 0.05). Hospital stay and hospitalization cost in the experimental group were obviously superior to those in the control group (P<0.01). Conclusion Application of ERAS to peri-operation of tension-free repair in elderly patients with inguinal hernia on daytime surgery is safe and effective, it can accelerate the postoperative recovery of patients, shorten the hospital stay and less cost, and is worthy of promotion and application. Key words: Enhanced recovery after surgery; Hernia, inguinal; Tension-free hernioplasty; Elderly; daytime surgery