Stoppa R, Verhaeghe P, Essomba A
C.H.U. Service de Chirurgie, Amiens.
Chirurgie. 1991;117(1):105-12.
In the first part the authors report their experience in Hernia surgery from 1980 to 1989. The comparison between 4 personal series shows that local anesthesia favoured short hospital stay, that the length of hospital stay decreased from 95% of more than 7 days hospitalization to 49% of less than 2 days; local anesthesia has almost suppressed post-anesthetic functional, respiratory and urinary troubles; no patient operated under local died; lastly the recurrence rate has not been related to hospital stay duration. Comments follow on Ambulatory surgery in general, technical and deontological principles. Ambulatory and short stay hospitalization in Hernia Surgery, and on advantages and pitfalls of these type of Surgery. The authors conclude on the feasibility, acceptability, benefits and usefulness of to day ambulatory surgery in hernia repair in the frame of a Universitary Hospital Center.
在第一部分，作者报告了他们1980年至1989年期间在疝气手术方面的经验。对4组个人病例系列的比较表明，局部麻醉有利于缩短住院时间，住院时间从超过7天住院的95%降至少于2天住院的49%；局部麻醉几乎消除了麻醉后的功能、呼吸和泌尿系统问题；没有在局部麻醉下手术的患者死亡；最后，复发率与住院时间长短无关。随后对一般门诊手术、技术和道德原则进行了评论。讨论了疝气手术中的门诊和短期住院治疗，以及这类手术的优点和陷阱。作者总结了在大学医院中心框架内，当今门诊手术用于疝气修补的可行性、可接受性、益处和实用性。
