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<p>The pediatric day surgery has experienced a rapid development in recent years. This study aims to investigate the prospects of day surgery in pediatric hospitals. A total of 17,549 pediatric patients with inguinal hernia (IH) treated between July 2018 and August 2023 were included. The patients were divided into four groups: group A1 (open IH repair [OIHR] in the traditional ward), A2 (laparoscopic IH repair [LIHR] in the traditional ward), B1 (OIHR in the day ward), and B2 (LIHR in the day ward). A retrospective analysis was conducted based on clinical data, satisfaction and prognosis. The present study showed that the operative time between groups A2 and B2 showed no significant difference (<i>p</i> = 0.1205). However, the total time from entering to exiting the operating room was significantly longer in group A2 compared to group B2 (<i>p</i> &lt; 0.0001). Hospitalization costs were significantly lower for patients in the day ward compared to the traditional ward (<i>p</i> &lt; 0.0001). There was no significant difference in the recurrent IH rate between groups A2 and B2 (<i>p</i> = 0.977) or in incision infection rates between the day and traditional wards. The recurrent IH rate was significantly higher after OIHR compared to LIHR (<i>p</i> &lt; 0.0001). The parent satisfaction in the day ward is higher than the traditional ward. The day surgery model of LIHR is a safe, reliable, and economically beneficial surgical management model that is highly recommended for pediatric hospitals.</p>

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Exploration of laparoscopic day surgery mode for pediatric inguinal hernia: a large cohort study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月8日

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  • Shuhao Zhang,
  • Duote Cai,
  • Yi Jin,
  • Wenjuan Luo,
  • Qingjiang Chen,
  • Xiaoyan Fan,
  • Zhigang Gao

摘要

The pediatric day surgery has experienced a rapid development in recent years. This study aims to investigate the prospects of day surgery in pediatric hospitals. A total of 17,549 pediatric patients with inguinal hernia (IH) treated between July 2018 and August 2023 were included. The patients were divided into four groups: group A1 (open IH repair [OIHR] in the traditional ward), A2 (laparoscopic IH repair [LIHR] in the traditional ward), B1 (OIHR in the day ward), and B2 (LIHR in the day ward). A retrospective analysis was conducted based on clinical data, satisfaction and prognosis. The present study showed that the operative time between groups A2 and B2 showed no significant difference (p = 0.1205). However, the total time from entering to exiting the operating room was significantly longer in group A2 compared to group B2 (p < 0.0001). Hospitalization costs were significantly lower for patients in the day ward compared to the traditional ward (p < 0.0001). There was no significant difference in the recurrent IH rate between groups A2 and B2 (p = 0.977) or in incision infection rates between the day and traditional wards. The recurrent IH rate was significantly higher after OIHR compared to LIHR (p < 0.0001). The parent satisfaction in the day ward is higher than the traditional ward. The day surgery model of LIHR is a safe, reliable, and economically beneficial surgical management model that is highly recommended for pediatric hospitals.