Perioperative management protocol for abdominal wall hernia repair in a public reference healthcare unit in Amazonas - Brazil.

INTRODUCTION: Abdominal hernias are frequent surgical conditions that incur high hospital costs and significantly affect patients socioeconomic lives. It is crucial to reassess and update operational protocols, as several aspects of perioperative care require revision, especially following the introduction of protocols aimed at accelerating postoperative recovery. OBJECTIVE: To develop a protocol for perioperative procedures in abdominal wall hernia repair surgeries. METHOD: This is a prospective study with a mixed approach, utilizing a modified Delphi consensus method. The sample comprised physicians with residency in general surgery, with a minimum of five years of experience and routine involvement in treating abdominal wall hernias. Questionnaires were administered in three stages, addressing various aspects related to perioperative care in patients undergoing abdominal wall hernia repair surgeries. For the analysis of collected data, the Content Validity Index (CVI) was calculated based on the percentage of agreement among participants, and Cronbachs Alpha coefficient was used to assess the internal consistency of the questionnaire. RESULTS: The study generated a protocol for perioperative clinical-surgical procedures focused on abdominal wall hernia repair surgeries. CONCLUSION: The development of a consensus among specialists resulted in the creation and publication of a protocol for perioperative clinical-surgical procedures in abdominal hernia repair surgeries.