Porrero J L, Hidalgo M, Sanjuanbenito A, Sanchez-Cabezudo C
Surgery Service, Hospital General Universitario Gregorio Marañon, Madrid, Cantoblanco, Spain.
Hernia. 2004 Feb;8(1):60-3. doi: 10.1007/s10029-003-0189-y. Epub 2003 Nov 26.
The authors present a study of 775 patients who underwent a Shouldice herniorrhaphy between 1987 and 2000, as performed by one surgeon. Average patient age was 52 years, and 93% of patients were male. Local anesthesia with sedation was used in 643 cases (83%) and regional anesthesia in 13%. The length of the incision was 9.5 cm. The average duration of surgery was 57.5 min (40-75). Tolerance to local anesthesia with sedation was 93%, a similar percentage to that of general anesthesia. The most significant postoperative complications were: urinary retention 8%, headache 7%, and ecchymosis 6%. Hospitalization time in 76% of the cases was 1 day, while 20% of interventions were undertaken on an outpatient basis. The average absence from work was 20 days. The recurrence rate at 7 years was 2%.
作者呈现了一项对775例患者的研究，这些患者在1987年至2000年间由一名外科医生进行了Shouldice疝修补术。患者平均年龄为52岁，93%为男性。643例（83%）采用局部麻醉加镇静，13%采用区域麻醉。切口长度为9.5厘米。手术平均时长为57.5分钟（40 - 75分钟）。局部麻醉加镇静的耐受性为93%，与全身麻醉的比例相似。最显著的术后并发症为：尿潴留8%，头痛7%，瘀斑6%。76%的病例住院时间为1天，而20%的手术是在门诊进行的。平均缺勤天数为20天。7年时的复发率为2%。
