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[腹股沟疝和股疝手术中的局部区域麻醉。作者对1730例治疗病例的自身经验]

[Loco-regional anesthesia in the surgery of inguinal and crural hernias. The authors' own experience with 1730 treated cases].

作者信息

Virno F, Aureggi A, Federici R, Virno V A

机构信息

Cattedra di Chirurgia Oncologica, Università degli Studi La Sapienza, Roma.

出版信息

G Chir. 1993 Jan;14(1):51-4.

PMID:8481283
Abstract

The authors report their experience with the use of loco-regional anaesthesia for the surgical treatment of inguinal and femoral hernias. Their series includes 1730 operations, 235 of which for hernia relapses, performed exclusively in the outpatient department. In the authors opinion, with loco-regional anaesthesia it is possible to treat any type of inguinal-femoral hernia, reducing the risks related to total anaesthesia and the complications arising from bedrid. Excellent results were achieved especially in the elderly and high risk patients like cardiopathic or those affected by respiratory and hepatorenal insufficiency with a complete absence of mortality and morbidity.

摘要

作者报告了他们使用局部区域麻醉进行腹股沟疝和股疝手术治疗的经验。他们的系列病例包括1730例手术,其中235例为疝复发手术,均仅在门诊进行。作者认为,使用局部区域麻醉可以治疗任何类型的腹股沟-股疝,降低与全身麻醉相关的风险以及因卧床不起而产生的并发症。尤其在老年患者和高风险患者(如心脏病患者或患有呼吸及肝肾不全的患者)中取得了优异的效果,且完全没有死亡率和发病率。

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