Wilson M S, Irving S O, Iddon J, Deans G T, Brough W A
Stockport Unit for Minimally Invasive Therapy, Stepping Hill Hospital, England.
Surg Laparosc Endosc. 1998 Oct;8(5):384-7.
Recovery following different types of inguinal hernia repair has been objectively assessed by measuring reaction times when the subject performs an emergency stop in a driving simulator. A control group of patients who underwent varicose vein surgery to the groin under general anaesthetic without any muscle dissection demonstrated no alteration in response times. Eighty-two percent of those who underwent laparoscopic repair and 64% of those who underwent Lichtenstein repair returned to their preoperative times by 7 days after surgery. There was no difference in recovery of response times after Lichtenstein repair performed under local or general anaesthetic, in comparison with 33% of patients after Bassini repair. These results may influence the advice given by surgeons to patients after inguinal hernia surgery.
通过测量受试者在驾驶模拟器中进行紧急制动时的反应时间，对不同类型腹股沟疝修补术后的恢复情况进行了客观评估。一组在全身麻醉下进行腹股沟静脉曲张手术且未进行任何肌肉解剖的患者作为对照组，其反应时间没有改变。接受腹腔镜修补术的患者中有82%以及接受Lichtenstein修补术的患者中有64%在术后7天恢复到术前反应时间。与Bassini修补术后33%的患者相比，在局部或全身麻醉下进行Lichtenstein修补术后反应时间的恢复没有差异。这些结果可能会影响外科医生对腹股沟疝手术后患者的建议。
