Abstract:
Objective To explore the clinical efficacy and evaluation of the Lichtenstein repair under local anesthesia for the treatment of inguinal hernia in elderly patients.
Methods A total of 78 elderly patients with inguinal hernia were enrolled from June 2012 to December 2014 in Lanzhou General Hospital of PLA. All the patients had undergone Lichtenstein repair with self-gripping mesh under local anesthesia. In this study, we wanted to summarize and analyze intraoperative condition, postoperative complications and recurrence rate.
Results The operations of all the 78 patients were accomplished smoothly. The operation time was 31 to 70 minutes, with a mean of (42±4) minutes. The hospital stay was 3 to 10 days, with a mean of (5±2) days. The blood loss was 3 to 25 ml, with a mean of (9±4) ml. There was 1 case of postoperative scrotal edema, 3 cases of chronic pain, and 1 case of wound effusion. The injury numbness appeared in 2 cases. No urinary retention, intestinal obstruction and testicular atrophy occurred. All patients were followed up for 6 to 36 months.
Conclusion The Lichtenstein repair with self-gripping mesh under local anesthesia is safe and effective, and it is worthy of clinical promotion.
Key words:
Hernia, inguinal,
Herniorrhaphy,
Aged
Tingbao Cao, Xuelong Du, Jianping Yu, Kun Li, Long Yan, Peng Chen, Hongbin Liu. Clinical effect of Lichtenstein hernia repair under local anesthesia for the treatment of elderly patients with inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(06): 425-427.