The Department of Vascular Thyroid Ventral Hernia Surgery of Guangdong Provincial People’s Hospital introduces “24-hour access” minimally invasive surgery for hernia, which completes the whole process of admission, preoperative examination, waiting for surgery, surgical treatment, postoperative observation and discharge within 24 hours, saving patients’ time and cost to the greatest extent. The surgery is performed under local anesthesia, without fasting and urinary catheterization, which greatly reduces the trauma and pain of the patient and is especially suitable for the treatment of hernia in elderly patients. ”The hernia can be discharged from the hospital in 24 hours after treatment. Uncle Li had just celebrated his 92nd birthday this year, but suddenly found a mass protruding from the abdominal wall in his lower right abdomen. But the swelling was getting bigger and bigger, with a soft mass inside, and always felt a bout of pain at the side groin. He went to Guangdong Provincial People’s Hospital for examination and realized that he had an inguinal hernia, commonly known as “small intestine gas”. After the treatment of the new 24-hour in-and-out surgery of the Department of Vascular Thyroid Hernia Surgery of the provincial hospital, Li Bo was successfully cured and left the hospital. The whole hospitalization time is less than 24 hours! According to Peng Lin, director of vascular thyroid ventral wall hernia surgery, hernia is a common surgical disease with an incidence of 1‰-5‰ in the general population. Older people with weak muscles and declining functions have a prevalence of up to 10%. China has gradually entered an aging society, and the number of elderly patients is increasing; inguinal hernia is a common disease among the elderly, and the number of cases of inguinal hernia in elderly people over 70 years old is increasing. Since the function of the major organs of the elderly decreases with age or the coexistence of multiple diseases makes surgery more risky, complicated and prone to postoperative complications, which adversely affects the surgical treatment and prognosis of elderly hernia and is a difficult problem for general surgeons. In addition, common diseases in the elderly, such as chronic cough and constipation, also tend to promote the occurrence of hernias. Patients with early or mild symptoms of hernia may feel pain and lower abdominal drop, while severe cases may cause intestinal impaction, intestinal necrosis, or even life-threatening. Director Peng Lin also reminded that hernia treatment can only be surgical, do not listen to folk remedies, so as not to delay the time to save. He said that the old idea that the elderly are not suitable for surgery is often too painful to step into the hospital. However, since our hospital launched the “24-hour access to hospital for hernia”, this phenomenon has been greatly improved. The 24-hour discharge is a new technology for the treatment of hernia, which is the latest technology developed by the hernia specialist treatment group established in our department in line with the international standard, and is also the individualized tension-free hernia repair carried out by the department. It is also a sign of the maturity of individualized tension-free hernia repair carried out by the department. Minimally invasive treatment of hernia is characterized by less trauma and faster recovery. The surgical method used in the department has been greatly improved compared to the previous one, and the dose has been precisely controlled instead of the previous hard epidural anesthesia, so that the surgical risk for the elderly with cardiovascular and pulmonary diseases has been minimized. The hospitalization is no longer fasting, no longer inserting urinary catheters, no longer being bedridden for a week, etc. It is not only suitable for the elderly, but also widely accepted by some young hernia patients with busy work schedules. According to Deputy Director Hu Shixiong, head of the Hernia Treatment Group of Blood A Hernia Surgery, the abdominal wall is like the outer tire of a car tire, protecting the internal organs. When there is a defect in the abdominal wall, the internal organs of the abdominal cavity are squeezed out through this small hole, forming an outward bulge, which is called a hernia, and can be divided into inguinal hernia, incisional hernia, visceral hernia, etc. according to the location, among which inguinal hernia is the most common. Hernia must be repaired surgically. Considering that Uncle Li is old, although his heart and lung function tests are still in the normal range, his reserve is very poor and the blows of surgery and anesthesia can knock down the body’s balance. This problem can be solved with our new 24-hour minimally invasive surgery for hernia, which uses local anesthesia and tension-free hernia repair and can be discharged after 24 hours. While traditional surgery directly patches the “broken hole” with stitches, tension-free hernia repair uses a special material to “patch” the defective area. The recurrence rate is reduced from about 10% to less than 1%. This new technology has changed the traditional inguinal hernia surgery, which usually takes a week or even longer, and greatly saves the patient’s time and cost. At the same time, the surgery uses local anesthesia, does not require fasting, does not need to insert a urinary catheter, and reduces the trauma and pain of the patient.