Objective To investigate the most suitable anaesthesia method for the tension-free herniorrhaphy.
Methods A total of 422 unilateral inguinal hernia cases from 2002 to 2005 were collected and randomly divided into the local anaesthesia group and epidural anaesthesia group. Observation indices and some relative data, such as operative duration, date of ambulation, date of foodintake, length of hospital stay, operation-correlated complications, anaesthesia complications, usage rate of ancillary drug, satisfactory rate for anesthesia, cost of hospitalization, were included and recorded in the questionnaire, and all the patients who took the tension-free herniorrhaphy were asked to answer it as the follow-up research.
Results It was found that the occurrence of postoperative anaesthetic complications, the cost of hospitalization, length of stay of local anaesthesia group were significantly less than those of epidural anaesthesia group, and the date of moving and the date of foodintake were also significantly earlier than those of the other group (P＜0.05). However, there was no significant difference of operative duration, postoperative recovery situation and the satisfactory rate between two groups (P＞0.05).
Conclusion The local anaesthesia is suitable for most of the tension-free herniorrhaphy, and it may be used as the conventional anaesthetic method.
Citation：
HUANG Jian,LIU Yongqiang,XIE Wei. Comparative Analysis of Local Anaesthesia and Epidural Anaesthesia in Tension-Free Herniorrhaphy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(3): 312-315. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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冯波， 夏怡， 陆爱国， 等. 腹腔镜与开腹直肠前切除术的卫生经济学评价 [J]. 外科理论与实践, 2006; 11(5)∶389.
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Nordin P, Haapaniemi S, van der Linden W, et al. Choice of anesthesia and risk of reoperation for recurrence in groin hernia repair [J]. Ann Surg, 2004; 240(1)∶187.
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黄建. 应用疝环充填式无张力修补术治疗腹股沟疝223例临床经验 [J]. 重庆医学, 2001; 30(5)∶455.
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- 1. Callesen T, Bech K, Kehlet H. One-thousand consecutive inguinal hernia repairs under unmonitored local anesthesia [J]. Anesth Analg, 2001; 93(6)∶1373.
- 2. 马颂章, 郑民华. 成人腹股沟疝、 股疝手术治疗方案(修改稿) [J]. 外科理论与实践, 2004; 9(1)∶84.
- 3. Amid PK, Shulman AG, Lichtenstein IL. Local anesthesia for inguinal hernia repair step-by-step procedure [J]. Ann Surg, 1994; 220(6)∶735.
- 4. 肖乾虎， 陈建川. 716例无张力疝修补术的回顾性分析 [J]. 中国普外基础与临床杂志, 2004; 11（6）∶526.
- 5. Gunal O, Arikan Y, Celikel N. Clinical assessment of spinal and epidural anesthesia in inguinal hernia repair [J]. J Anesth, 2002; 16(2)∶119.
- 6. Kehlet H, Aasvang E. Groin hernia repair: anesthesia [J]. World J Surg, 2005; 29(8)∶1058.
- 7. Hair A, Duffy K, McLean J, et al. Groin hernia repair in Scotland [J]. Br J Surg, 2000; 87(12)∶1722.
- 8. Weltz CR, Klein SM, Arbo JE, et al. Paravertebral block anesthesia for inguinal hernia repair [J]. World J Surg, 2003; 27(4)∶425.
- 9. Song D, Greilich NB, White PF, et al. Recovery profiles and costs of anesthesia for outpatient unilateral inguinal herniorrhaphy [J]. Anesth Analg, 2000; 91(4)∶876.
- 10. Gonullu NN, Cubukcu A, Alponat A. Comparison of local and general anesthesia in tension-free (Lichtenstein) hernioplasty: a prospective randomized trial [J]. Hernia, 2002; 6(1)∶29.
- 11. O’Dwyer PJ, Serpell MG, Millar K, et al. Local or general anesthesia for open hernia repair: a randomized trial [J]. Ann Surg, 2003; 237(4)∶574.
- 12. Kendell J, Wildsmith JA, Gray IG. Costing anaesthetic practice. An economic comparison of regional and general anaesthesia for varicose vein and inguinal hernia surgery [J]. Anaesthesia, 2000; 55(11)∶1106.
- 13. 冯波， 夏怡， 陆爱国， 等. 腹腔镜与开腹直肠前切除术的卫生经济学评价 [J]. 外科理论与实践, 2006; 11(5)∶389.
- 14. Nordin P, Haapaniemi S, van der Linden W, et al. Choice of anesthesia and risk of reoperation for recurrence in groin hernia repair [J]. Ann Surg, 2004; 240(1)∶187.
- 15. 黄建. 应用疝环充填式无张力修补术治疗腹股沟疝223例临床经验 [J]. 重庆医学, 2001; 30(5)∶455.
