To explore the establishment, optimization and application effect of PELD in the management of lumbar disc herniation under day surgery.

To improve the management process in the day surgery management process according to the management experience of day surgery in our hospital and also the problems of the PELD operation process. We try to formulate the management system and the treatment process of PELD day surgery for lumbar disc herniation and to improve the work norms. Since Jul. 2021, 100 patients in the day surgery were included in this study and followed up more than 30 days. We compared 10 indexes (operation time, wound infection rate, complication rate, stand up rate, day cancellation rate, unpunctuality rate, waiting time before admission, readmission rate within 30 days, delayed discharge rate and patient satisfaction) before and after the application of treatment process. Including.

From Mar. to Dec. 2021, a total of 200 PELD surgeries were performed in the day surgery. 100 PELD patients admitted to the day surgery ward from Mar. to Jul. 2021 were the control group. From Jul. to Dec. 2021, another 100 PELD patients were admitted to the day surgery as the observation group. There were no significant differences in age, gender, surgical level, type of protrusion and surgical approach between two groups. After the day surgery management process was established and optimized, the waiting time before admission, complication rate, stand up rate and unpunctuality rate of patients were significantly decreased. The patient satisfaction of observation group was significantly higher than that of control group. However, no significant differences between operation time, wound infection, day cancellation rate, 30-day readmission rate and delayed discharge rate.

In the early stage of PELD day surgery, we can establish PELD day surgery procedures suitable for own hospital, referring to the traditional day surgery model. Our diagnosis and treatment process can reduce waiting time before admission, stand up rate and also increase punctuality rate. It can be used by relevant medical units.