Femoral hernia repair under local anesthesia
10.3760/cma.j.issn.1007-631X.2010.08.019
- VernacularTitle:局麻下股疝的术式选择及手术技巧
- Author:
Sujun LIU
;
Jie CHEN
;
Fan WANG
;
Shuo YANG
;
Yingmo SHEN
- Publication Type:Journal Article
- Keywords:
Hernia,femoral;
Surgical procedures,operative;
Surgical techniques;
Preperitoneal
- From:
Chinese Journal of General Surgery
2010;25(8):661-664
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the choices and surgical skills for tension-free femoral hernia repair under local anesthesia. Methods The clinical data of 109 nonincarcerated femoral hernia patients were summarized from December 2002 to December 2009. Patients were divided into 3 groups according the time period at which the surgery was performed. 85 patients from 2002 to 2008 were divided into 2 groups,45 cases treated with preperitoneal repair ( preperitoneal group), and the other 40 cases with mesh-plug repair (plug group). The 24 cases admitted from January 2009 to December 2009 received modified preperitoneal repair. Operation time, VAS, length of hospitalization, incidence of recurrence, foreign body feelings and seroma were compared among the three groups. Results All the 109 patients were repaired under local anesthesia, and there was no perioperative death. The statistical indicator value of incidence of recurrence, foreign body sensation and seroma in preperitoneal group was lower than plug group (P ＜0.05). The modified preperitoneal repair was better in operation time, VAS, length of hospitalization than preperitoneal group (P ＜ 0.05). Conclusions Modified preperitoneal repair under local anesthesia is the choice for treating femoral hernia without incarceration. Modified preperitoneal repair is faster, more minimally invasive and faster recovery.
