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Cirugía paraguaya

On-line version ISSN 2307-0420


ALMIRON-CORONEL, María Teresa; AHMED-CORONEL, Sharlyn; PORTO-VARELA, Mauro  and  MONTIEL-ROA, Arnaldo. AMBULATORY SURGERY VS. PROTOCOLARY REGIMEN IN PATIENTS WITH INGUINAL HERNIA. Rev. Cir. Parag. [online]. 2018, vol.42, n.2, pp.8-12. ISSN 2307-0420.


We went looking for strategies that not only increase the comfort and evolution of patients, but the hospital stay is short; the ambulatory surgery regimen was created, which has achieved really satisfactory results, not only increases the comfort of the patient, but also decreases the hospital cost.


To characterize the results of ambulatory surgeries and the protocol regime in patients with inguinal hernia in the General Surgery Service of the IPS during the month of August to December 2017.


observational and prospective study.


There were 61 cases of patients diagnosed with inguinal hernia. 51.59% were ambulatory surgeries; Male sex predominated and the highest incidence was registered in the range of 31 to 45 years. 70.9% were patients from urban areas; the surgical time was 45-50 min; 6.45% were immediate postoperative complications. The hospital stay in these patients was 12 hours. In the survey on patient satisfaction in ambulatory surgeries, 90.34% were satisfied with the surgery. In the protocolar regime, the highest percentage was older than 60 years, mostly from urban areas. The surgical time was from 30 to 45 min, only 3% of immediate postoperative complications and the hospital stay was 48 h. By relating the cost of ambulatory surgery with the protocol form, for each outpatient, 210,854 guaranies (40 dolars) were saved.


The evidence indicates that ambulatory surgery is very safe, and because of the advantages it offers, it was accepted by the population. It was effective and made it possible for the family member and the patient to incorporate into the comfort of their home, as well as finding economic advantages, it makes possible a reduction in hospital stay.

Keywords : ambulatory surgical procedures; inguinal hernia; inguinal canal.

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