Hernia repair in elderly patients under unmonitored local anaesthesia is feasible

被引：22

作者：

Nienhuijs S.W. ^{[1
]}

Remijn E.E.G. ^{[1
]}

Rosman C. ^{[1
]}

机构：

[1] Department of General Surgery, Canisius-Wilhelmina Hospital, 6500 HB Nijmegen

来源：

Hernia | 2005年 / 9卷 / 3期

关键词：

Elderly; Hernia repair; Local anaesthesia; Mesh plug repair;

D O I：

10.1007/s10029-005-0321-2

中图分类号：

学科分类号：

摘要：

Background: There is a growing interest in the use of local anaesthesia for inguinal hernia repair. It certainly seems to be an acceptable alternative for the elderly. Supporting intravenous sedation, however, still requires monitoring, anaesthetic personnel and some preparations for the patient. Therefore we set up a feasibility study of hernia repair under local anaesthesia without intravenous sedation or monitoring in elderly patients. Method: A total of 62 patients (aged 65 years or more) with unilateral inguinal hernia received a Mesh Plug Repair. Prospectively collected data included procedure-related complications and information on pain and quality of life as measured by Short Form 36. Results: No procedure-related complications were noted. Comparing the preoperative scores, the SF-36 on day 14 (n =61) did not differ significantly. After a median follow-up of ten months (n =54), significantly higher scores were found for scales of physical and emotional role and pain (all p < 0.05). Twenty-two patients reported some form of pain (40.7%). 94.4% of the patients would recommend the procedure when asked. Conclusion: The results of this study indicated that Mesh Plug Repair performed under unmonitored local anaesthesia with no intravenous sedation is a feasible alternative for elderly patients. It has advantages for the medical organization without disadvantages for the patient. © Springer-Verlag 2005.

引用

页码：218 / 222

页数：4

共 23 条

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