The Experience of Application in Tension-Free Herniorrhaphy Under Local Anesthesia in Senile Inguinal Hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 XINGGuo-sheng , ZHANGJun-jing , RENJian-jun , MENGXing-kai

Department of General Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, Inner Mongolia Autonomous Region, China;

Corresponding author：

XINGGuo-sheng, Email: 670833275@qq.com

Keywords：

Inguinal hernia; local anesthesia; Tension-free herniorrhaphy; Elderly patient

DOI：

10.7507/1007-9424.20160222

Video：

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Objective To investigate the application of tension-free herniarepair under local anesthesia in senile inguinal hernia. Methods Clinical data of 163 cases of senile inguinal hernias with herniorrhaphy under local anesthesia in our department from October 2011 to October 2014 were analyzed retrospectively, including epidural anesthesia 90 patients and local anesthesia 73 patients. Results All patients were successfully completed surgery. Hospital charges in local anesthesia were much cheaper than that in epidural anesthesia group (P=0.002). Hospital days in local anesthesia were much shorter than that in epidural anesthesia group (P=0.035). Lung complication in local anesthesia were much less than that in epidural anesthesia group (P=0.015). Other indicators were no significant difference between the two groups (P > 0.05). Conclusion Tension-free herniorrhaphy under local anesthesia in elderly patients is safe, reliable, less invasive method with low costs, slight postoperative pain, and worthy of promotion.

Citation： XINGGuo-sheng, ZHANGJun-jing, RENJian-jun, MENGXing-kai. The Experience of Application in Tension-Free Herniorrhaphy Under Local Anesthesia in Senile Inguinal Hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(7): 858-860. doi: 10.7507/1007-9424.20160222 Copy

1.	Lichtenstein IL, Shulman AG, Amid PK, et al. The tension-free hernioplasty. Am J Surg, 1989, 157(2): 188-193.
2.	丁世美, 肖东霖, 朱瑞凌, 等.经腹腹膜前疝修补术45例临床观察.中华疝和腹壁外科杂志:电子版, 2015, 9 (2): 151-152．.
3.	陈杰.实用疝外科手术技巧.北京:科学技术出版社, 2008: 7-14.
4.	Sanjay P, Woodward A. Inguinal hernia repair: local or general anaesthesia. Ann R Coll Surg Engl, 2007, 89(5): 497-503．.
5.	Nordin P, Hernell H, Unosson M, et al. Type of anaesthesia and patient acceptance in groin hernia repair: a multicentre ran-domised trial. Hernia, 2004, 8(3): 220-225.
6.	张跃华.门诊局麻疝环充填式无张力疝修补术65例报告.中国微创外科杂志, 2006, 6 (6) : 443-444．.
7.	王保起, 王红超, 张靖.腹股沟疝无张力修补日间手术96例.中华疝和腹壁外科杂志:电子版, 2014, 8(6): 553-554.
8.	陈杰, 那冬鸣, 申英末, 等.局部神经阻滞麻醉在腹股沟无张力疝修补术中的应用.中华普外科杂志, 2005, 20(2): 107-108．.
9.	叶林加, 王健, 周俊强.局部麻醉在腹壁疝修补术中的应用.中国普外基础与临床杂志, 2016, 23(5): 607-608.
10.	雷文章, 黄建朋.腹膜前间隙无张力修补马鞍疝的体会.中国普外基础与临床杂志, 2009, 16(2): 92-94.
11.	Song Y, Lu A, Ma D, et al. Long-term results of femoral hernia repair with ULTRAPRO plug. J Surg Res, 2015, 194(2): 383-387.
12.	王明刚, 陈杰, 刘素君, 等.局麻下善愈补片腹膜前间隙修补治疗成人脐疝的探讨.中华疝和腹壁外科杂志:电子版, 2008, 2(3): 270-274.
13.	王康, 王波, 胡阳, 等.腹股沟疝无张力修补术的麻醉选择.临床外科杂志, 2007, 14(12): 797-798.
14.	袁喜红, 王俊, 李坚, 等.局部神经阻滞麻醉在老年腹股沟疝无张力疝修补术中的临床应用.中华疝和腹壁外科杂志:电子版, 2015, 9(6): 519-520．.

1. Lichtenstein IL, Shulman AG, Amid PK, et al. The tension-free hernioplasty. Am J Surg, 1989, 157(2): 188-193.
2. 丁世美, 肖东霖, 朱瑞凌, 等.经腹腹膜前疝修补术45例临床观察.中华疝和腹壁外科杂志:电子版, 2015, 9 (2): 151-152．.
3. 陈杰.实用疝外科手术技巧.北京:科学技术出版社, 2008: 7-14.
4. Sanjay P, Woodward A. Inguinal hernia repair: local or general anaesthesia. Ann R Coll Surg Engl, 2007, 89(5): 497-503．.
5. Nordin P, Hernell H, Unosson M, et al. Type of anaesthesia and patient acceptance in groin hernia repair: a multicentre ran-domised trial. Hernia, 2004, 8(3): 220-225.
6. 张跃华.门诊局麻疝环充填式无张力疝修补术65例报告.中国微创外科杂志, 2006, 6 (6) : 443-444．.
7. 王保起, 王红超, 张靖.腹股沟疝无张力修补日间手术96例.中华疝和腹壁外科杂志:电子版, 2014, 8(6): 553-554.
8. 陈杰, 那冬鸣, 申英末, 等.局部神经阻滞麻醉在腹股沟无张力疝修补术中的应用.中华普外科杂志, 2005, 20(2): 107-108．.
9. 叶林加, 王健, 周俊强.局部麻醉在腹壁疝修补术中的应用.中国普外基础与临床杂志, 2016, 23(5): 607-608.
10. 雷文章, 黄建朋.腹膜前间隙无张力修补马鞍疝的体会.中国普外基础与临床杂志, 2009, 16(2): 92-94.
11. Song Y, Lu A, Ma D, et al. Long-term results of femoral hernia repair with ULTRAPRO plug. J Surg Res, 2015, 194(2): 383-387.
12. 王明刚, 陈杰, 刘素君, 等.局麻下善愈补片腹膜前间隙修补治疗成人脐疝的探讨.中华疝和腹壁外科杂志:电子版, 2008, 2(3): 270-274.
13. 王康, 王波, 胡阳, 等.腹股沟疝无张力修补术的麻醉选择.临床外科杂志, 2007, 14(12): 797-798.
14. 袁喜红, 王俊, 李坚, 等.局部神经阻滞麻醉在老年腹股沟疝无张力疝修补术中的临床应用.中华疝和腹壁外科杂志:电子版, 2015, 9(6): 519-520．.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The Experience of Application in Tension-Free Herniorrhaphy Under Local Anesthesia in Senile Inguinal Hernia

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