Opportunities and challenges for high-quality development of day surgery services in hernia and abdominal wall surgery

doi:10.16139/j.1007-9610.2024.04.06

Abstract

Abstract:

The number of day surgeries in hernia and abdominal wall surgery has grown rapidly, and basic requirements need to be put forward for organizational structure, institutional norms, operational management, quality control, and all under the supervision of health administrative departments to ensure quality and safety. Currently, the Expert Committee on Day Surgery for Abdominal Wall Surgery, in collaboration with multiple departments, has developed and updated the expert consensus on standards for hernia and abdominal wall day surgery. The development of day surgery services in this field faces both opportunities and challenges. Opportunities include advancements in medical technology, the spread of minimally invasive surgery, and the growing demand for rapid recovery. Challenges involve the rational allocation of medical resources, the cultivation of professional talents, and the establishment of technical standards. Ensuring medical quality and safety while improving service efficiency remains a significant challenge.

Key words: Hernia, Day surgery, High-quality development

CLC Number:

LIU Yuchen, WANG Minggang. Opportunities and challenges for high-quality development of day surgery services in hernia and abdominal wall surgery[J]. Journal of Surgery Concepts & Practice, 2024, 29(04): 304-310.

References 41

[1]	吉鹏, 赵建美, 翟高峰, 等. 高质量发展视角下某大型公立医院日间手术实施效能分析[J]. 现代医院管理, 2023, 21(6):61-64.
	JI P, ZHAO J M, ZHAI G F, et al. Analysis of the efficacy of the implementation of day surgery in a large public hospital from the perspective of high-quality development[J]. Mod Hosp Manag, 2023, 21(6):61-64.
[2]	张潘, 潘振宇, 李锟, 等. 各地日间手术医保管理政策的梳理与分析[J]. 中国医院管理, 2021, 41(5):55-59.
	ZHANG P, PAN Z Y, L K, et al. Summarization and analysis of day surgery in medical lnsurance management policy of various regions[J]. Chin Hosp Manag, 2021, 41(5):55-59.
[3]	孙辉, 王凯, 朱宏, 等. 2016-2022年我国日间手术术式变化及对日间手术规范化发展的思考[J]. 中国医院, 2022, 26(8):10-13.
	SUN H, WANG K, ZHU H, et al. Considerations of the standardized development of day surgery in China based on the changes of day surgery from 2016 to 2022[J]. Chin Hosp, 2022, 26(8):10-13.
[4]	国家卫生健康委办公厅. 关于印发医疗机构日间医疗质量管理暂行规定的通知:国卫办医政发〔2022〕16号[EB/OL]. (2022-11-23)[2023-09-10]. http://www.nhc.gov.cn/yzygj/pqt/202211/8c13f9111fde4c94bcc5542cf83fd7c1.shtml.
[5]	蒋丽莎, 宋应寒, 马洪升. 中国日间手术未来发展愿景[J]. 华西医学, 2021, 36(2):141-143.
	JIANG L S, SONG Y H, MA H S. Vision for the future development of day surgery in China[J]. West China Med J, 2021, 36(2):141-143.
[6]	孙辉, 明敏馨, 马旭东. 我国二、三级医疗机构日间手术发展现状分析[J]. 中国医院管理, 2022, 42(3):48-51.
	SUN H, MING M X, MA X D. Analysis on the status quo of day surgery developments secondary and tertiary medical institutions of China[J]. Chin Hosp Manag, 2022, 42(3):48-51.
[7]	于丽华. 中国日间手术发展的历程与展望[J]. 中国医院管理, 2016, 36(6):16-18.
	YU L H. Development and prospect of day surgery in China[J]. Chin Hosp Manag, 2016, 36(6):16-18.
[8]	雷甜甜, 梁鹏, 马洪升, 等. 四川大学华西医院日归手术管理实践[J]. 广东医学, 2022, 43(10):1222-1228.
	LEI T T, LIANG P, MA H S, et al. Same-day surgery management practice in West China Hospital of Sichuan University[J]. Guangdong Med J, 2022, 43(10):1222-1228.
[9]	PRESCOTT R J, ESPLEY A J, DAVIE I T, et al. Double-blind clinical trial of anaesthetic premedication for use in major day surgery[J]. Lancet, 1976, 1(7970):1148-1150. pmid: 58198
[10]	SLOAN D S, WATSON J D. Surgeons' attitudes to some aspects of day case surgery[J]. Ulster Med J, 1986, 55(1):61-69. pmid: 3739063
[11]	VAAGENES P, HELGØ D, HELSINGEN N. Dagkirurgisk behandling av brokk [Day surgery of hernia][J]. Tidsskr Nor Laegeforen, 2000, 120(28):3386-3389. pmid: 11187191
[12]	TAKEDA J. [Day surgery and anesthesia]. Nihon Geka Gakkai Zasshi, 2000, 101(10):703-707.
[13]	NISHIGUCHI Y, HIRAKAWA K. [Day surgery for adult inguinal hernia][J]. Nihon Geka Gakkai Zasshi, 2000, 101(10):722-728.
[14]	SIRAGUSA G, GERACI G, LI VOLSI F, et al. The treatment of inguinal hernia in a one-day surgery protocol. Our experience[J]. Minerva Chir, 2000, 55(7-8):493-497.
[15]	UENO S, YOKOYAMA S, HIRAKAWA H, et al. [Day surgery for pediatric inguinal hernia repair][J]. Nihon Geka Gakkai Zasshi, 2000, 101(10):729-732.
[16]	MORENO-EGEA A, CASTILLO BUSTOS J A, AGUAYO J L. Day surgery for laparoscopic repair of abdominal wall hernias. Our experience in 300 patients[J]. Hernia, 2002, 6(1):21-25.
[17]	MAJHOLM B, ENGBÆK J, BARTHOLDY J, et al. Is day surgery safe? A Danish multicentre study of morbidity after 57,709 day surgery procedures[J]. Acta Anaesthesiol Scand, 2012, 56(3):323-331. doi: 10.1111/j.1399-6576.2011.02631.x pmid: 22335277
[18]	GUILLAUMES S, HIDALGO N J, BACHERO I. Outpatient inguinal hernia repair in Spain: a population-based study of 1,163,039 patients-clinical and socioeconomic factors associated with the choice of day surgery[J]. Updates Surg, 2023, 75(1):65-75.
[19]	GILLIES M, ANTHONY L, AL-ROUBAIE A, et al. Trends in incisional and ventral hernia repair: a population analysis from 2001 to 2021[J]. Cureus, 2023, 15(3):e35744.
[20]	HOFFMAN C, BUDDHA M, MAI M, et al. Opioid-free anesthesia and same-day surgery laparoscopic hiatal hernia repair[J]. J Am Coll Surg, 2022, 235(1):86-98.
[21]	国永生, 张忠涛. 腹股沟疝无张力修补日间手术516例报告[J]. 临床外科杂志, 2007, 15(2):139-140.
	GUO Y S, ZHANG Z T. Report of 516 cases of day surgery for tension-free repair of inguinal hernia[J]. J Clin Surg, 2007, 15(2):139-140.
[22]	阮宁, 翁山耕, 林春忠, 等. 腹股沟疝Kugel补片修补日间手术临床应用[J]. 外科理论与实践, 2008, 13(6):579-580.
	RUAN N, WENG S G, LIN C Z, et al. Clinical application of Kugel patch in inguinal hernia repair in ambulatory surgery[J]. J Surg Concepts Pract, 2008, 13(6):579-580.
[23]	ZHONG Y, HE M, LIU Z, et al. Efficacy of laparoscopic inguinal hernia in day surgery mode and inpatient surgery mode in China: a meta-analysis[J]. Medicine (Baltimore), 2023, 102(8):e32998.
[24]	周明华. 我国三级公立医院绩效考核结果分析与思考[J]. 中国卫生质量管理, 2024, 31(1):34-37,48.
	ZHOU M H. Analysis and reflection on performance appraisal results of tertiary public hospitals in China[J]. Chin Health Qual Manag, 2024, 31(1):34-37,48.
[25]	韩超, 祝学梅, 王莹, 等. 日间医疗的规范化发展思考[J]. 实用医学杂志, 2024, 40(8):1038-1041.
	HAN C, ZHU X M, WANG Y, et al. Reflection on the standardized development of ambulatory medical care[J]. J Pract Med, 2024, 40(8):1038-1041.
[26]	邓先锐, 郑磊, 徐通海, 等. 日间手术模式在腹股沟疝修补术中的应用价值[J]. 中华消化外科杂志, 2023, 22(9):1075-1079.
	DENG X R, ZHENG L, XU T H, et al. Application value of ambulatory surgery mode in inguinal hernia repair[J]. Chin J Dig Surg, 2023, 22(9):1075-1079.
[27]	王明刚, 李航宇, 李健文. “大中华腔镜疝外科学院年度工作会议”纪要[J]. 中国实用外科杂志, 2018, 38(8):962-964.
	WANG M G, LI H Y, LI J W. Proceedings of the annual working meeting of the Greater China college of luminal hernia surgery[J]. Chin J Pract Surg, 2018, 38(8):962-964.
[28]	中国日间手术合作联盟, 中华疝和腹壁外科杂志(电子版)编委会, 中国医师协会外科医师分会疝和腹壁外科医师委员会, 等. 腹股沟疝日间手术规范化流程专家共识(2019版)[J]. 中华疝和腹壁外科杂志(电子版), 2019, 13(3):193-197.
	China Day Surgery Cooperative Alliance, Editorial Board of Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), Hernia and Abdominal Wall Surgery Committee of Chinese Physicians' Association of Surgeons, et al. Expert consensus on standardised procedures for day surgery for inguinal hernia (2019 edition)[J]. Chin J Hernia Abdom Wall Surg (Electronic Edition), 2019, 13(3):193-197.
[29]	中国日间手术合作联盟《中华疝和腹壁外科杂志(电子版)》编委会, 中国医师协会外科医师分会疝和腹壁外科学组, 中华医学会外科学分会疝与腹壁外科学组, 等. 中小腹壁疝日间手术规范化流程中国专家共识(2022版)[J]. 中华消化外科杂志, 2022, 21(9):1165-1172.
	Editorial Board of Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), China Day Surgery Cooperative Alliance; Hernia and Abdominal Wall Surgery Group of Chinese Physicians' Association of Surgeons; Hernia and Abdominal Wall Surgery Group of Surgical Association of the Chinese Medical Association, et al. Chinese expert consensus on standard process of ambulatory surgery for small and medium ventral hernia (2022 edition)[J]. Chin J Dig Surg, 2022, 21(9):1165-1172.
[30]	中国日间手术合作联盟疝和腹壁外科专业日间手术专家委员会, 《中华疝和腹壁外科杂志(电子版)》编辑委员会, 全国卫生产业企业管理协会疝和腹壁外科产业及临床研究分会, 等. 腹股沟疝日间手术规范化流程与标准中国专家指南(2023版)[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(5):497-503.
	Day Surgery Expert Committee of Hernia And Abdominal Wall Surgery, China Day Surgery Cooperative Alliance, Editorial Committee of Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), Hernia and Abdominal Wall Surgery Industry and Clinical Research Branch of the National Health Industry Enterprise Management Association, et al. Chinese expert guideline on standardized process and standards of ambulatory surgery for inguinal hernia (2023 edition)[J]. Chin J Hernia Abdom Wall Surg (Electronic Edition), 2023, 17(5):497-503.
[31]	国务院办公厅. 国务院办公厅关于推动公立医院高质量发展的意见:国办发〔2021〕18号[EB/OL]. (2022-6-4)[2024-6-3]. https://www.gov.cn/zhengce/zhengceku/2021-06/04/content_5615473.htm.
[32]	国家卫生健康委办公厅. 国家卫生健康委办公厅关于印发日间手术推荐目录(2022年版)的通知:国卫办医函〔2022〕38号[EB/OL]. (2022-1-28)[2024-6-3]. http://www.nhc.gov.cn/yzygj/s3594q/202202/f57ca70b23f34ca88308979ef19bde4b.shtml.
[33]	孙辉, 高嗣法, 孙佳璐, 等. 《医疗机构日间医疗质量管理暂行规定》的解读[J]. 中国卫生质量管理, 2023, 30(5):30-33.
	SUN H, GAO S F, SUN J L, et al. Interpretation of"interim provision on quality management of ambulatory medical care in medical institutions"[J]. Chin Health Qual Manag, 2023, 30(5):30-33.
[34]	倪文君, 赵蓉, 杨佳泓, 等. 市级医院日间手术单病种质量控制指标体系的研究[J]. 华西医学, 2021, 36(2):215-219.
	NI W J, ZHAO R, YANG J H, et al. Study on quality control index system of single disease in day surgery in municipal hospitals[J]. West China Med J, 2021, 36(2):215-219.
[35]	黄静, 商玉环. 全程护理管理模式对腹股沟疝日间手术患者出院准备度的干预效果评价[J]. 中华疝和腹壁外科杂志(电子版), 2024, 18(1):61-64.
	HUANG J, SHANG Y H. Evaluation of the impact of comprehensive nursing management on the discharge readiness of patients undergoing day-case inguinal hernia surgery[J]. Chin J Hernia Abdom Wall Surg(Electronic Edition), 2024, 18(1):61-64.
[36]	罗怡君, 赵灵悦, 刘宏玥, 等. 日间手术预住院统一管理模式的建设和实践探讨[J]. 中国卫生标准管理, 2024, 15(2):62-65.
	LUO Y J, ZHAO L Y, LIU H Y, et al. Discussion on the construction and practice of unified management model of pre-admission for day surgery[J]. China Health Stand Manag, 2024, 15(2):62-65.
[37]	刘子煜, 王巍. 基于预住院的医院日间手术系统设计与实践[J]. 中国数字医学, 2023, 18(7):55-58.
	LIU Z Y, WANG W. Design and practice of hospital day surgery system based on pre-hospitalization[J]. China Digit Med, 2023, 18(7):55-58.
[38]	舒琴, 李迪, 刘壮, 等. 疾病诊断相关分组视角下日间病房效益评估[J]. 中国卫生经济, 2020, 39(11):80-82.
	SHU Q, LI D, LIU Z, et al. Evaluation on daytime ward benefits from the perspective of DRG[J]. Chin Health Econ, 2020, 39(11):80-82.
[39]	陈晔, 董四平. 我国三级公立医院绩效考核指标体系解读与评析[J]. 中国卫生政策研究, 2020, 13(2):19-25.
	CHEN Y, DONG S P. Interpretation and analysis of performance evaluation index system of tertiary public hospitals in China[J]. Chin J Health Policy, 2020, 13(2):19-25.
[40]	唐健雄, 李绍春. 从我国疝和腹壁外科的历史谈今后的发展[J]. 中国普通外科杂志, 2023, 32(10):1445-1452.
	TANG J X, LI S C. Future development of hernia and abdominal wall surgery in China:a historical perspective[J]. Chin J Gen Surg, 2023, 32(10):1445-1452.
[41]	申英末, 孙蕊, 陈杰, 等. 我国疝和腹壁外科研究进展及未来展望[J]. 中华消化外科杂志, 2023, 22(1):100-104.
	SHEN Y M, SUN R, CHEN J, et al. Research progress and future prospect of hernia and abdominal wall surgery in China[J]. Chin J Dig Surg, 2023, 22(1):100-104.