[A prospective randomized study on inguinal hernia repair according to the Shouldice technique. Benefits of local anesthesia]
- PMID: 10663002
- DOI: 10.1007/s001040051012
[A prospective randomized study on inguinal hernia repair according to the Shouldice technique. Benefits of local anesthesia]
Abstract
Objective: The aim of this randomized controlled study was to show whether local anesthesia (LA) leads to a decrease of postoperative pain in inguinal hernia repair in comparison with general anesthesia (AA).
Method: Sixty volunteer patients were randomly assigned into a LA group and an AA group. All patients had an unilateral primary inguinal hernia and underwent inguinal hernia repair (Shouldice technique). Methods to determine pain were the visual analog scale (VAS), peak flow measurement, the measurement of the FEV1 %, and analgesic consumption.
Results: Up to the third postoperative day we measured a decreased pain level in the LA group. The anesthesia procedure was never changed. No essential complications occurred.
Conclusion: Therefore, it was concluded that local anesthesia has more advantages than general anesthesia.
Similar articles
-
Effects of bupivacaine infiltration on postoperative tramadol consumption in elective day care unilateral inguinal hernia repair.J Pak Med Assoc. 2016 Mar;66(3):256-9. J Pak Med Assoc. 2016. PMID: 26968272 Clinical Trial.
-
Local versus general anesthesia for Shouldice repair of the inguinal hernia.World J Surg. 1994 Nov-Dec;18(6):912-5; discussion 915-6. doi: 10.1007/BF00299105. World J Surg. 1994. PMID: 7846918 Clinical Trial.
-
A prospective comparison of local and spinal anesthesia for inguinal hernia repair.Hernia. 2007 Apr;11(2):153-6. doi: 10.1007/s10029-006-0166-3. Epub 2006 Nov 29. Hernia. 2007. PMID: 17136309 Clinical Trial.
-
Current options in local anesthesia for groin hernia repairs.Acta Chir Iugosl. 2011;58(3):25-35. doi: 10.2298/aci1103025k. Acta Chir Iugosl. 2011. PMID: 22369015 Review.
-
Inguinal hernia repair: anaesthesia, pain and convalescence.Dan Med Bull. 2003 Aug;50(3):203-18. Dan Med Bull. 2003. PMID: 13677240 Review.
Cited by
-
International guidelines for groin hernia management.Hernia. 2018 Feb;22(1):1-165. doi: 10.1007/s10029-017-1668-x. Epub 2018 Jan 12. Hernia. 2018. PMID: 29330835 Free PMC article.
-
European Hernia Society guidelines on the treatment of inguinal hernia in adult patients.Hernia. 2009 Aug;13(4):343-403. doi: 10.1007/s10029-009-0529-7. Epub 2009 Jul 28. Hernia. 2009. PMID: 19636493 Free PMC article.
-
[Psychological traits, course of surgery and recovery following hernia repair in patients preferring general or local anaesthesia].Anaesthesist. 2006 Mar;55(3):247-54. doi: 10.1007/s00101-005-0917-z. Anaesthesist. 2006. PMID: 16175344 German.
-
[Ropivacain after inguinal hernia surgery. A prospective, randomised, double-blinded, controlled study].Chirurg. 2005 May;76(5):487-92. doi: 10.1007/s00104-004-0977-7. Chirurg. 2005. PMID: 15688181 Clinical Trial. German.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources