Makuria T, Alexander-Williams J, Keighley M R
Ann R Coll Surg Engl. 1979 Jul;61(4):291-4.
A prospective study of 104 cases has been carried out to compare the use of local and general anaesthesia for the elective repair of groin hernias. There were no apparent disadvantages in using a local anaesthetic procedure. Patients having local anaesthetic herniorrhaphy required postoperative analgesics and antiemetics significantly less often and also returned home sooner (3.2 days) than patients having a general anaesthetic (4.1 days). These findings argue strongly in favour of local anaesthesia as a suitable alternative to general anaesthesia for repair of groin hernias.
一项针对104例患者的前瞻性研究已开展,以比较局部麻醉和全身麻醉在择期腹股沟疝修补术中的应用情况。使用局部麻醉手术并无明显弊端。接受局部麻醉疝修补术的患者术后使用镇痛药和止吐药的频率显著更低,而且比接受全身麻醉的患者更早(3.2天)出院(全身麻醉患者为4.1天)。这些发现有力地支持了局部麻醉可作为腹股沟疝修补术中全身麻醉的合适替代方案。