老年腹股沟疝日间手术注意事项

Announcements in elderly inguinal hernia ambulatory surgery

在我国腹股沟疝病人中,老年病人所占比例较大,如何让老年腹股沟疝病人获得安全、便利的日间手术治疗已成为日间手术医生不得不面对的问题。首先,病例筛查很重要,对于合并严重内科疾病的老年病人,术前须详细地评估和筛选,制定安全标准,对于不符合日间手术安全标准的病人不应安排日间手术;其次,尽量选择对病人身体状况影响小的麻醉和手术方式,便于术后快速恢复;最后,术后管理方面亦十分重要,注意观察术后病情变化,病人出院后要有完善的术后随访,有通畅的沟通及反馈渠道,以便发生紧急状况可以及时获知并处理。

Among the inguinal hernia patients in China, the proportion of elderly patients is relatively large. How to make the ambulatory surgery of elderly inguinal hernia patients be safe and convenient is a problem that surgeons have to face. Firstly, case screening is very important. For elderly patients with severe internal diseases, evaluation and screening must be performed before surgery to establish safety standards. Patients who do not accord with the safety standards for ambulatory surgery should not be scheduled for ambulatory surgery; Secondly, selection of the anesthesia and surgical methods should have as less as possible impact for the patients, so as to facilitate rapid recovery after surgery. Lastly, postoperative management is also very important. Surgeons should pay attention to observing the change of the postoperative condition. Complete follow-up after discharge and smooth communication and feedback channels can help surgeons to know and handle in a timely manner in the emergency event.