局部麻醉在腹股沟疝无张力修补术中的应用-东南大学学报医学版

局部麻醉在腹股沟疝无张力修补术中的应用

单位：东南大学附属中大医院,普外科,江苏,南京,210009

分类号：R614.3, R656.21

出版年·卷·期（页码）：2007·26·第五期（374-375）

摘要：

目的:探讨在局部麻醉下行腹股沟疝无张力修补术的可行性及优越性.方法:回顾性研究我院在局部麻醉下施行腹股沟疝无张力修补术93例,对患者手术前合并症、手术时间、手术方式、术后镇痛药应用、术后并发症、术后住院天数以及平均总住院费用进行综合分析.结果:本组患者手术后疼痛耐受好,镇痛药物应用少,术后并发症少,平均术后住院天数4 d,平均手术时间45 min.结论:局部麻醉下行腹股沟疝无张力修补术具有安全快捷、患者痛苦少、费用低廉、术后恢复快等优点,尤其适合于合并多种慢性疾病的老年患者.

ObjectiveTo evaluate the feasibility and advantage of tension-free inguinal hernia repair under local anaesthesia.MethodsA total of 93 inguinal tension free hernia repairs were performed under local anaesthesia.The preoperative condition,p.o.consumption of analgesics,operation time,procedure of operation,p.o.complications,hospitolization and the average expense in the hospital were analyzed retrospectively.ResultAll patients tolerated well under local anaesthesia,the mean operating time was 45 minutes.Bleeding was less and anatomic structure was clearly identified in the operation.The mean duration of hospital stay was 4 days.Analgesics consumption and complications is less after operation.ConclusionInguinal hernia repair under local anaesthesia is well tolerated and associated with a low risk of complications,low cost and short period of hospital stay,which can be recommended for geriatric patients as a safe,simple and minimal invasive procedure of hernia repair.

参考文献：

[1] KEHLET H, AASVANG E. Groin hernia repair:anesthesia. 2005(8). doi:10.1007/s00268-005-7969-8
[2] AMID P K, SHULMAN A G, LICHTENSTEIN I L. Open"tension-free"repair of inguinal hernias:the lichtenstein technique, 1996(6)
[3] SUBRAMANIAM P, LESLIE J, GOURLAY C. Find more like this inguinal hernia repair:a comparison between local and general anaesthesia. 1998(11). doi:10.1111/j.1445-2197.1998.tb04680.x
[4] GONULLU N N, CUBUKCU A, ALPONAT A. Comparison of local and general anesthesia in tension-free(lichtenstein)hernioplasty:a prospective randomized trial. 2002(1). doi:10.1007/s10029-002-0040-x
[5] KARK A E, KURZER M, WATERS K J. Tension-free mesh hernia repair:review of 1098 cases using local anaesthesia in a day unit. 1995(4)

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