Callesen T, Kehlet H
Anaestesiologisk afdeling, Hvidovre Hospital, København.
Ugeskr Laeger. 1995 Jan 23;157(4):421-4.
Economical aspects of three different types of anaesthesia for inguinal hernia repair are discussed on the basis of relevant papers and economical estimates. Infiltration anaesthesia is found to be less expensive than both spinal and general anaesthesia. The reduction in cost is mainly based on a reduced demand for observation facilities during and after the operation as well as for preoperative evaluation. Early postoperative analgesia is improved after inguinal field block. Urinary retention is seen with a reduced frequency after inguinal field block. The risk of wound complication seems unrelated to the type of anaesthesia. The risk of serious complications related to anaesthesia (i.e. aspiration pneumonitis and significant circulatory events) is probably lower after infiltration anaesthesia. It is recommended that infiltration anaesthesia be employed for hernia repair.
基于相关论文和经济估算，讨论了三种不同类型麻醉用于腹股沟疝修补术的经济方面。发现浸润麻醉比脊髓麻醉和全身麻醉成本更低。成本降低主要基于手术期间及术后对观察设施需求的减少以及术前评估需求的减少。腹股沟区域阻滞术后早期镇痛得到改善。腹股沟区域阻滞后尿潴留的发生率降低。伤口并发症风险似乎与麻醉类型无关。浸润麻醉后与麻醉相关的严重并发症（即吸入性肺炎和重大循环事件）风险可能更低。建议采用浸润麻醉进行疝修补术。
