腹股沟疝日间手术特点和并发症处理

Technology characteristics and treatment of complications of inguinal hernia repair in ambulatory surgery

在日间手术模式下开展腹股沟疝手术与常规开展有不同之处。在日间模式下,须强调腹股沟疝病人纳入标准,将不适合日间手术的病人归入普通病房。腹股沟疝日间手术可以开展各种术式,但应强调规范与合理。腹股沟疝日间手术可选择局部麻醉或全身麻醉,但硬膜外麻醉对于老年病人引起尿潴留风险高,并非最佳选择。尽管腹股沟疝手术创伤小,术后并发症少,但术后疼痛、出血、尿潴留、恶心呕吐等近期并发症仍可能影响日间手术的流畅运行,需要及时正确处理。

An inguinal hernia surgery carried out in the day surgery mode is different from that in the conventional mode.In the day surgery model,the inclusion criteria for patients suffering from inguinal hernia shall be emphasized,and patients who are unsuitable for day surgery are to be admitted to the general ward.When an inguinal hernia surgery is carried out in the day surgery mode,various surgical techniques are acceptable as long as they are under standard and reasonable use.Both local and general anesthesia are allowed during day surgery;while for elderly patients the epidural anesthesia is not the best option because uroschesis is very likely to be caused.Inguinal hernia surgery is less invasive and has fewer postoperative complications,while certain current complications such as postoperative pain,bleeding,uroschesis,nausea and vomiting will still affect the smoothness of day surgery,so the timely and correct treatment is required.