Abstract
Due to advances in minimally-invasive surgical treatment, diseases that have conventionally required hospitalization, can now be treated in same day surgery. Among such treatments, same day inguinal hernioplasty is now the worldwide gold standard. Due to the National Health Insurance (NHI) point system, however, such day surgery is not yet standard in Japan. In our clinic, day surgery for inguinal hernia has been performed for 873 patients since 2014, with favorable outcomes. It is extremely important to perform under balanced anesthesia, and to occlude the hernia orifice with a minimum delamination procedure due to the surgical techniques necessary for safe day surgery. Day surgery is less-invasive and low in cost with many benefits for busy modern people who have a difficulty in taking off work. We should further improve surgical techniques to continuously perform such a minimally invasive the day surgery in the future.