局所麻酔下における成人鼠径ヘルニア修復術の有用性

DOI Web Site 被引用文献3件 参考文献14件

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  • The Usefulness of Local Anesthesia for Inguinal Hernioplasty in Adult Patients.

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Inguinal hernioplasty after mesh plug method was performed under local anesthesia in a series of 24 adult patients since March 1998. Surgical procedure was completed under local anesthesia in all patients. The stable respiratory and hemodynamic conditions during the operation were noted without any toxicity of anesthetics. Some of these patients had surgical risks, such as postoperative cardiac valve replacement followed by anticoagulant therapy, postoperative left pulmonary lobectomy, bronchial asthma and chronic renal failure. We experienced no problems in the intraoperative management for such high risk patients and the elderly patients over 85 years of age. No patients had postoperative complications including headache. Few patients needed the urethral catheterization just after the surgery. Patients could walk and take meals soon after the surgery, and the pain of would was controlled by nonsteroidal anti-inflammatory drugs. So the day surgery for inguinal hernia is considered to be feasible. A questionnaire survey was conducted after discharge from the hospital on the satisfaction of intraoperative anesthesia. The results indicated that local anesthesia was favorable by the majority of those patients. Local anesthesia for inguinal hernioplasty in adult patients is useful, especially for those with risk factors such as advanced age, under anticoagulant therapy, and severe underlying diseases.

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