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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2026, Vol. 20 ›› Issue (01): 48-51. doi: 10.3877/cma.j.issn.1674-392X.2026.01.009

• Article • Previous Articles    

The application of local infiltration anesthesia based on nerve distribution for Lichtenstein procedure

Jianpeng Huang, Hua Zong, Junbo Yang()   

  1. Department of Gastrointestinal Surgery, the Third People's Hospital of Shenzhen, Shenzhen 518100, Guangdong Province, China
  • Received:2023-03-16 Online:2026-02-18 Published:2026-03-10
  • Contact: Junbo Yang

Abstract:

Objective

To evaluate the effectiveness and safety of local infiltration anesthesia based on nerve distribution for Lichtenstein procedure.

Methods

From January 2020 to December 2022, 107 patients who underwent with unilateral inguinal hernia local infiltration anesthesia Lichtenstein surgery in Department of Gastrointestinal Surgery, the Third People's Hospital of Shenzhen were retrospectively selected. Pain score during and after operation, anesthesia satisfaction, dosage of anesthetic drugs, and incidence rate of toxicity of anesthetic drugs were analyzed.

Results

All patients completed the operation under local anesthesia, and no toxicity of anesthetic drugs occurred. The pain Visual Analogue Scale scores during the operation and on the first day after the operation were (1.86±0.47) points and (1.85±0.48) points, respectively. The average dosage of anesthetic drugs was (27.63±5.98) ml, and the satisfaction of anesthesia was 100%.

Conclusion

Local infiltration anesthesia based on nerve distribution for Lichtenstein procedure is effective, safe and feasible with a small dosage of anesthetic drugs and a low probability of toxicity.

Key words: Hernia, inguinal, Nerve distribution, Infiltration anesthesia, Lichtenstein operation

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