[Bi-layer hernioplasty in day surgery].

Area of Science:

• Minimally Invasive Surgery
• Surgical Oncology
• Gastroenterology

Context:

• Modern hernia repair prioritizes quick recovery, reduced pain, and cost-effectiveness.
• Inguinal hernia treatment demands techniques balancing recurrence rates with patient outcomes.
• Day surgery models are increasingly adopted for efficiency and patient convenience.

Purpose:

• To evaluate the feasibility and safety of a sutureless inguinal hernia repair using a double polypropylene mesh under local anesthesia.
• To assess patient comfort, operative time, complications, and recurrence rates in a day surgery setting.
• To determine the efficacy of this approach for inguinal hernia treatment.

Summary:

• A study involving 41 patients with inguinal hernias utilized a sutureless technique with two polypropylene meshes under local anesthesia as day surgery.
• Patients reported high intraoperative comfort (85.36%) with minimal need for additional analgesia and no conversions to general anesthesia.
• The mean operative time was 65 minutes, with minor complications (seroma, hematoma) managed conservatively. No recurrences were noted during the 14-month follow-up.

Impact:

• This preliminary study suggests that inguinal hernia repair with a double polypropylene mesh under local anesthesia in a day surgery setting is a viable and secure option.
• The approach demonstrates potential for reduced postoperative complications and high patient satisfaction, supporting the promotion of day surgery models.
• Successful implementation requires optimized day surgery infrastructure, patient education, and modern communication strategies for broader application.