Chinese expert consensus on standard process of ambulatory surgery for small and medium ventral hernia (2022 edition)

Small and medium ventral hernia refers to abdominal wall hernia with maximum diameter of abdominal wall defect less than 8 cm, of which operation procedures and postoperative recovery are predictable, making it feasible to launch ambulatory surgery. Day surgery facilities for ventral hernia operations should be constructed on the basis of the actual circumstance, with full consideration of all the needs of different personnel. A multi‑disciplinary and multi-departmental day surgery team with an access system is expected to be established, so as to achieve proper management of the surgery. Clarified inclusion criteria for patients, individual selection of operation programs and meshes, highly attention paid to perioperative management and risk assessment, and contingency plans for emergencies, are supposed to lead to ensured medical safety. Through the application of the clinical pathway and reasonable analysis of quality control indicators, effective evaluation of medical quality is expectable. In addition, the implementation process should be carried out steadily in accordance with the specific situation of the hospital.