Mbenti A, Essomba R, Kiniffo H V
Faculté de médecine, Cotonou, Rép. Pop. du Benin.
J Chir (Paris). 1987 Oct;124(10):557-8.
At a time when scientific progress is to the forefront in the field of anesthesia, by the increased knowledge and use of anesthetic drugs and their antidotes, and by the increasing sophistication of anesthetic and intensive care apparatuses, it could appear absurd to wish to make local anesthesia in treatment of uncomplicated inguinal hernia a commonplace procedure. However, confronted with the usual risks of general anesthesia and the minimal incidence of accidents after local injection of 2% xylocaine, the authors have developed a technique of infiltration of certain key-zones to ensure maximum effectiveness of 4 to 6 cc of the compound. Results are reported of the use of the method in 100 ambulatory patients, age range 15 to 70 years, of both sexes. A full discussion on the procedure adopted follows a brief summary of the anatomy and nerve supply of the inguinal region.
在麻醉领域科学进展处于前沿的时代，随着麻醉药物及其解毒剂知识的增加和应用，以及麻醉和重症监护设备日益复杂，希望将局部麻醉用于治疗单纯性腹股沟疝成为一种常见手术似乎是荒谬的。然而，面对全身麻醉的常见风险以及局部注射2%利多卡因后极低的意外发生率，作者开发了一种对某些关键区域进行浸润的技术，以确保4至6毫升该化合物能发挥最大效力。报告了该方法在100例年龄在15至70岁、男女皆有的门诊患者中的应用结果。在对腹股沟区的解剖结构和神经供应进行简要总结之后，接着对所采用的手术方法进行了全面讨论。
