RECIDIV AF INGVINALHERNIE: AMBULANT OPERATION I LOKAL ANAESTESI

Torben Callesen*, Karsten Bech, Peter Hesselfeldt, Jens Andersen, Rolf Nielsen, Ole Roikjær, Henrik Kehlet

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

4 Citationer (Scopus)

Abstract

In order to assess the feasibility of repair of a recurrent inguinal hernia in unmonitored local anaesthesia in an ambulatory set-up pain scores and data on patient satisfaction were obtained from 76 unselected patients after 79 consecutive operations. Median age was 63 years, and 25% and 75% quartiles were 49 and 72 years respectively. All operations were conducted in local anesthesia. Three patients stayed in hospital overnight after the operation. Pain: After one, six and 28 days 27, 14 and 7% respectively had severe pain during function (cough and/or rising). Satisfaction: 82% were satisfied with ambulatory surgery in local anaesthesia, 82% were satisfied with the analgesic therapy (tenoxicam and methadone), but one third needed supplementary analgesics during the first week (acetaminophen was recommended). It is concluded, that ambulatory repair of a recurrent inguinal hernia in unmonitored local anaesthesia is a safe and cost effective alternative to operation in general or spinal anaesthesia.

Bidragets oversatte titelRecurrent inguinal hernia: Ambulatory operation in local anaesthesia
OriginalsprogDansk
TidsskriftUgeskrift for Laeger
Vol/bind158
Udgave nummer49
Sider (fra-til)7057-7060
Antal sider4
ISSN0041-5782
StatusUdgivet - 5 dec. 1996

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