使用局部麻醉和监控麻醉治疗镇静在复杂的,并发病患者的开放 inguinal 修复
Alynna J Wiley1, Stephanie M Jensen1, Alexandra S Adams1
1Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC.
Surgery
|November 29, 2025
概括
在局部麻醉和镇静下进行开放的 inguinal hernia 修复是一种安全有效的程序. 这种方法提供了有限的成本和并发症,有利于希望避免全身麻醉的患者.
科学领域:
- 手术创新 在外科创新.
- 麻醉学 麻醉学
- Hernia 修复 椎间板裂的修复
背景情况:
- 最少的侵入性技术正在为 inguinal hernia 修复获得吸引力.
- 开放的 inguinal 的修复提供了全身麻醉的替代方案,特别是在患有并发症的患者.
研究的目的:
- 评估在局部麻醉和镇静下进行的开放 inguinal 修复的结果.
- 评估这种麻醉方法的安全性,有效性和成本效益.
主要方法:
- 一个潜在的数据库查询确定了164名在局部麻醉和镇静下接受开放 inguinal 修复的患者.
- 在使用布皮瓦卡因与上腺素和利多卡因进行野外阻塞后,进行了经过修改的列支敦士登修复.
主要成果:
- 这项研究包括164名患者 (平均年龄为71.1岁) 具有显著的并发症.
- 没有患者需要全身麻醉;平均手术时间为75.4分钟.
- 手术后的并发症包括伤口细胞炎 (1.8%),血清瘤 (0.6%) 和尿路保留 (3.7%). 在平均随访时间为17.8个月后,没有观察到复发.
结论:
- 在局部麻醉和镇静下进行开放的 inguinal hernia 修复是一种安全有效的方法来管理 inguinal hernias.
- 这种技术与低成本,最小的并发症和没有复发有关.
- 对于患有并发症或避免全身麻醉的患者来说,这是一个有益的选择.
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