【Abstract】 ObjectiveTo investigate the application value of fasttrack surgery in perioperation of tensionfree hernioplasty in elderly patients with inguinal hernia.MethodsThe clinical data of 137 elderly patients with inguinal hernia who underwent tensionfree hernioplasty in the People′s Hospital of the Greater Khingan Rang from September 2015 to December 2016 were collected．Sixtyfive patients from May to December 2016 were treated with ERAS planning during perioperation, and were enrolled as ERAS group. Seventytwo from September 2015 to April 2016 were treated with traditional perioperative management, and were enrolled as traditional group．The incidence of complications, postoperative recovery and medical economics indices were compared between the two groups. Results(1)Postoperative complications：The incident rates of nausea and emesis，incision pain and uroschesis were significantly lower in the ERAS group compared with the traditional group (P＜0.01).There were no significant differences in the incident rates of incision infection，seroma/hematoma，hydrocele，relapse and temporary nerve paresthesia between the two groups (P＞0.05).(2)Postoperative recovery and medical economics indices：duration for ambulation, anus exhaust and food intake，hospital stay and hospitalization cost in the ERAS group were obviously superior to those in the traditional group (P＜0.01).ConclusionApplication of ERAS to perioperation of tensionfree repair in elderly patients with inguinal hernia is safe and effective，can accelerate the postoperative recovery of patients and shorten the hospital stay, and is worthy of promotion and application.

无