{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:06:18Z","timestamp":1790251578227,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite the advantages of lower healthcare costs and decreased elective surgery wait times without compromise to patient outcome, rates of day\u2010case hernia repairs remain much lower than the RACS target of 70%\u201380%. Certain patient cohorts are often unnecessarily excluded due to perceived risks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To review literature on patient and procedural factors influencing same\u2010day discharge after inguinal, femoral, and umbilical hernia repairs, and to outline an evidence\u2010based selection criteria and perioperative protocol to improve day\u2010case rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review of peer\u2010reviewed English\u2010language studies involving inguinal, umbilical, and femoral hernia repairs in patients over 18\u2009years, in day and overnight case settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patient factors facilitating same\u2010day discharge are age under 65\u2009years, ASA grades I\u2013II, and uncomplicated hernia types. Selected patients aged over 65 or with ASA grades III\u2013IV may be appropriate candidates and should not be excluded by default. Procedural factors facilitating same\u2010day discharge include unilateral surgery, use of adjunctive local anaesthesia, and protocols to reduce risk of common postoperative complications. Logistical factors such as comprehensive discharge planning and strategic theatre scheduling can further increase the success of day\u2010cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For appropriately selected patients, aged up to 80\u2009years and ASA up to IV, day\u2010case hernia repair can be a safe and effective alternative, offering comparable clinical outcomes and greater socioeconomic benefits. Comprehensive and holistic perioperative planning plays a crucial role to successfully expand day\u2010case hernia repairs. Based on the results of this study, a patient selection criteria and perioperative protocol for day\u2010case hernia repair are proposed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70667","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T05:30:33Z","timestamp":1775539833000},"page":"2300-2307","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Expanding the Practice of Day\u2010Case Inguinal, Femoral and Umbilical Hernia Repair: A Review of Patient and Procedural Factors Facilitating and Precluding Same\u2010Day Discharge"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4082-7645","authenticated-orcid":false,"given":"Minh T.","family":"Calder","sequence":"first","affiliation":[{"name":"Werribee Mercy Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3179-1912","authenticated-orcid":false,"given":"Elise J.","family":"Ho","sequence":"additional","affiliation":[{"name":"Werribee Mercy Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon K.","family":"Ho","sequence":"additional","affiliation":[{"name":"Werribee Mercy Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiran","family":"Wijeratne","sequence":"additional","affiliation":[{"name":"Werribee Mercy Hospital  Melbourne Victoria Australia"},{"name":"The University of Notre Dame  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-017-1668-x"},{"key":"e_1_2_8_3_1","volume-title":"Elective Surgery Activity [Internet]","author":"Australian Institute of Health and Welfare","year":"2025"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-009-0529-7"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.14302"},{"key":"e_1_2_8_6_1","unstructured":"C.Castoro L.Bertinato U.Baccaglini et\u00a0al. \u201cPolicy Brief Day Surgery: Making It Happen \u201d(2007) World Health Organization on behalf of the European Observatory on Health Systems and Policies."},{"issue":"6","key":"e_1_2_8_7_1","first-page":"386","article-title":"Some Problems in the Treatment of Hernia","volume":"17","author":"Farquharson E. 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