Clinical application of preperitoneal herniorrhaphy under the local nerve block anesthesia in the form of day-surgery
10.3760/cma.j.issn.1673-4203.2016.03.009
- VernacularTitle:区域神经阻滞麻醉下老年腹股沟疝腹膜前修补术日间手术模式的临床应用
- Author:
Weiqing QIU
;
Hua LIU
;
Zhiyong SHEN
;
Fu JI
;
Jie ZHANG
- Publication Type:Journal Article
- Keywords:
Nerve block;
Anesthesia;
Aged;
Hernia,inguinal;
Day surgery;
Herniorrhaphy
- From:
International Journal of Surgery
2016;43(3):174-177
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the safety and efficacy of the local nerve block anesthesia procedure in daysurgery inguinal herniorrhaphy practice.Methods Fifty-eight inguinal herniorrhaphy were performed under the local nerve block anesthesia in the form of day surgery between April 2014 and April 2015 other 58 inguinal hemiorrhaphy were performed under general anesthesia.Time of operation,hospitalization stay,complications and costs were evaluated.Results The average operating time of the day-surgery group was (47 ± 12) min.All operations were completed successfully.Fifty-six patients were discharged in 24 hours and 2 patients were discharged in 48 hours after the surgery.The average costs were 8437 yuan.The rate of postoperative complications was approximately 6.6％ (4/58),including hematoma(3 cases),urinary relention(1 case),and chronic pain (1 case).The VAS scores of 6 hours after the operation were (2.4 ± 0.8).Conclusions It suggests that preperitoneal hemiorrhaphy under the local nerve block anesthesia in the form of day-surgery was safe and effective.Also,it could significantly shorten the time of hospitalization and reduce medical costs.
