局部麻醉下改良Kugel手术的临床研究

目的探讨局部浸润麻醉下ModifiedKugel补片在腹股沟疝修补术中的临床应用。方法回顾性分析2009年1月至2011年12月，潍坊医学院附属淄博市第一医院在局部麻醉下行ModifiedKugel手术的162例腹股沟疝患者的临床资料，观察局部麻醉效果、手术时间、术后并发症、住院时间及复发情况。结果全部患者在局部麻醉下完成手术，术中麻醉效果满意，手术时间28，65min，平均41min，术后住院时间1～8d，平均3．7d。切口下血肿1例，切口脂肪液化1例，术后疼痛2例，无切口感染和复发。结论ModifiedKugel补片修补各种类型腹股沟疝，疗效确切，可在局部浸润麻醉下完成，安全可靠，并发症少，恢复快，是较为理想的疝修补术式。

Clinical study of Modified Kugel herniorrhaphy for inguinal hernia under local anesthesia

Objective To explore the application of Modified Kugel mesh in inguinal hernia repair under local anesthesia. Methods Clinical data of 162 cases of inguinal hernia underwent Modified Kugel herniorrhaphy under local anesthesia in the first Hospital of Zibo, Weifang Medical University, from January 2009 to December 2011, were collected and analyzed retrospectively. The anesthetic effect, operation time, complications, length of stay and recurrence rate were recorded. Results All operations were performed under local anesthesia, with satisfactory anesthetic effect. The operative time was 28 to 65 minutes, mean of 41 minutes, and the length of stay was 1 to 8 days, mean of 3.7 days. There was a ease of incision hematoma, a case of fat liquefaction, and 2 eases of postoperative pain occurred. No wound infection and recurrence were observed. Conclusions Modified Kugel herniorrhaphy is a safe, effective and appropriate precedence for various types of inguinal hernia, which can be accomplished under local anesthesia, and is known as less complications and quick recovery.