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[Pain and convalescence after ambulatory inguinal herniotomy during local anesthesia]

S Møiniche1, P Hesselfeldt, L Bardram

  • 1Kirurgisk gastroenterologisk og anaestesiologisk afdeling, Hvidovre Hospital, København.

Ugeskrift for Laeger
|January 23, 1995
PubMed

Insights

Ambulatory inguinal herniotomy under local anesthesia is feasible, but significant late postoperative pain requires improved multi-modal analgesia strategies for better patient recovery and satisfaction.

Area of Science:

  • Anesthesiology
  • Surgical Outcomes

Context:

  • Ambulatory inguinal herniotomy is a common surgical procedure.
  • Local infiltration anesthesia offers a potential alternative to general anesthesia for outpatient surgery.
  • Evaluating postoperative pain and recovery is crucial for patient satisfaction and procedure feasibility.

Purpose:

  • To assess postoperative pain, convalescence, and patient satisfaction following ambulatory inguinal herniotomy performed under local infiltration anesthesia.

Summary:

  • Sixty patients undergoing ambulatory inguinal herniotomy received pre- and postoperative oral tenoxicam and methadone, with local infiltration of 0.25% bupivacaine.
  • While intraoperative pain was minimal and immediate postoperative pain was relieved, over half experienced moderate pain on days 1-3 and mild pain at 7 days.
  • Median recovery of normal daily activity was 5 days, with 52/60 patients satisfied with the anesthesia, though 8 expressed fear of intraoperative pain.

Impact:

  • Local infiltration anesthesia can facilitate routine outpatient inguinal herniotomy.
  • Significant late postoperative pain necessitates the development of enhanced multi-modal analgesia protocols.
  • Addressing patient concerns regarding intraoperative pain can improve overall satisfaction with ambulatory procedures.

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