Paajanen H
Department of Surgery, Mikkeli Central Hospital, Porrassalmenkatu 35-37, 50100 Mikkeli, Finland.
Ann Chir Gynaecol Suppl. 2001(215):51-4.
In Scandinavian countries the use of local anaesthesia combined with fast patient's discharge is still uncommon in inguinal herniorraphy.
To report the feasibility, safety, costs and long-term outcome in terms of pain and recurrence after 101 open inguinal herniorraphies operated under local anesthesia as rapid outpatient procedure.
All patients were selected and operated using Lichtenstein polypropylene mesh herniorraphy by the same senior surgeon and one nurse. The incidence of pain and recurrences were asked by questionnaire after the mean follow-up of 2 years.
The rate of clinically important wound hematomas (n = 3) and infections (n = 1) were low as well as the number of recurrences (n = 1). Although 23% of the patients felt later some pain sensations in the inguinal region, only 2 patients needed occasionally pain-relieving drugs. Over 90 per cent of the patients were very satisfied with the operation.
Lichtenstein inguinal hernioplasty under local infiltration anaesthesia is rapid, well-tolerated, simple and inexpensive operation, which gives excellent results.
在斯堪的纳维亚国家，腹股沟疝修补术中使用局部麻醉并让患者快速出院的情况仍然不常见。
报告101例在局部麻醉下作为快速门诊手术进行的开放式腹股沟疝修补术在疼痛和复发方面的可行性、安全性、成本及长期结果。
所有患者均由同一位资深外科医生和一名护士选用利氏聚丙烯网片疝修补术进行手术。平均随访2年后通过问卷调查询问疼痛和复发的发生率。
具有临床意义的伤口血肿发生率（n = 3）和感染发生率（n = 1）较低，复发数量（n = 1）也较少。尽管23%的患者后来在腹股沟区域感到一些疼痛，但只有2例患者偶尔需要止痛药物。超过90%的患者对手术非常满意。
局部浸润麻醉下的利氏腹股沟疝修补术是一种快速、耐受性好、简单且廉价的手术，效果极佳。
