J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2585KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 101(10): 729-732, 2000

Feature topic

DAY SURGERY FOR PEDIATRIC INGUINAL HERNIA REPAIR

1) Department of Surgery, Tokai University School of Medicine, Isehara, Japan
2) Department of Anaesthiology, Tokai University School of Medicine, Isehara, Japan

Shigeru Ueno1), Seishichi Yokoyama1), Hitoshi Hirakawa1), Hiroyasu Makuuchi1), Tomoo Tajima1), Mamoru Takiguchi2)

Pediatric patients with inguinal hernia can be good candidates for day surgery. Since 1986, 1273 such patients have been treated under our day surgery system. Although 8 patients (0.6%) were unable to go home after surgery due to perioperative complications and 21 (1.6%) visited earlier than scheduled after discharge, no major complications were noted and postoperative complications did not differ from those seen in the inpatient setting. Our questionnaire survey demonstrated that 96% of the families were satisfied with the system.
Based on our own experience and a literature review of day surgery for inguinal hernia repair in children, the problems surrounding the day care system are discussed. Patient selection, preoperative assessment, general anesthesia, postoperative care including oral intake and analgesia, and postoperative follow-up are considered the most important issues in the day care system. A team approach including pediatric surgeons, anesthesiologists, and pediatric nurses is considered indispensable for the safe and satisfactory day surgery treatment.

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