局麻下无张力疝修补术的临床应用

目的 总结应用局麻方式进行无张力疝修补术的方法和特点。方法 应用1%利多卡因进行腹股沟区浸润及阻滞麻醉,对2011年1月-2013年12月410例腹股沟疝患者应用补片进行无张力疝修补术,回顾分析患者的临床资料。结果 本组患者均治愈,麻醉效果满意,手术时间25-90min,平均38min,5例阴囊肿胀,对症保守治疗后痊愈。切口疼痛轻微,无明显异物感,无切口感染等并发症,术后2-3天出院。随访12-38个月,无复发。结论 在腹股沟疝手术治疗中,局部麻醉的方法是安全可行的,镇痛效果良好,易于掌握,对患者干扰小,并发症少,恢复快。

Clinical application of local anesthesia for tension-free hernia repair operation

Objective To explore the surgical technique and characteristics of tension-free hernia repair operation with local anesthesia. Methods A retrospective analysis was made on the clinical data of 410 inguinal hernia patients who underwent tension-free hernia repair operation with local anesthesia by 1% lidocaine from Jan 2011 to Dec 2013. Results All the 410 patients were successfully treated with good anesthesia effect. The operation time was 25-90 minutes,average 38 minutes. 5 patients had suffered hydrocele who treated by conservative treatment. Some patients had minor postoperative pain. No obvious foreign body sensation and incision infection was found. The hospitalization time after operation was 2-3 days. No recurrence was observed during the follow-up period of 12-38 months. Conclusion Tension-free hernia repair operation with local anesthesia is a safe method with lower anesthesia risk, less complications and less postoperative recovery time.