Analysis of postoperative complications and pain perception after inguinal hernia repair under general anesthesia and local anesthesia

doi:10.3877/cma.j.issn.1674-392X.2020.03.016

Abstract

Abstract:

Objective

To investigate the effects of general anesthesia and local anesthesia on inguinal hernia repair.

Methods

Seventy patients undergoing inguinal hernia repair in Shengjing hospital from January 2017 to November 2018 were selected and divided into general anesthesia group (n=35) and local anesthesia group (n=35). Perioperative clinical parameters and complications were observed in both groups.

Results

The operation time, off-bed activity time and hospital stay of patients in local anesthesia group were shorter, but the degree of pain was higher. The incidence of infection, urinary retention, nausea and incision effusion of patients in general anesthesia group was lower, and the differences were significant (P<0.05).

Conclusion

Patients with local anesthesia have shorter operation time, off-bed activity time and hospital stay. While, there are fewer complications after general anesthesia, and better pain relief after general anesthesia.

Key words: General anesthesia, Local anesthesia, Inguinal hernia repair

Ming Zang, Chengcheng Sun, Jing Wang, Fuquan Yang. Analysis of postoperative complications and pain perception after inguinal hernia repair under general anesthesia and local anesthesia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(03): 274-276.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2020.03.016

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2020/V14/I03/274

Figures/Tables 2

References 11

[1]	程俊，杨汉权. 探讨静脉全麻和静脉复合吸入麻醉在小儿腹股沟斜疝腹腔镜术中的应用[J]. 中国卫生标准管理, 2017, 8(17): 118-119.
[2]	Campanelli G, Bruni PG, Morlacchi A, et al. Primary inguinal hernia: The open repair today pros and cons[J]. Asian J Endosc Surg, 2017, 10(3): 236-243.
[3]	任宝军，陈小伍，朱达坚, 等. 腹腔镜下疝内容物复位加疝环充填式无张力疝修补术治疗成人腹股沟嵌顿疝的临床应用[J]. 岭南现代临床外科, 2017, 17(1): 46-49.
[4]	Khetarpal R, Chatrath V, Kaur A, et al. Comparison of spinal anesthesia and paravertebral block in inguinal hernia repair[J]. Anesth Essays Res, 2017, 11(3): 724-729.
[5]	曹磊，吕生辉，胡伟. 喉罩与气管导管全麻应用于小儿腹腔镜疝修补术中的效果对比[J]. 贵州医药, 2017, 41(6): 624-625.
[6]	谢秋明，王坤. 局部神经阻滞麻醉用于腹股沟无张力疝修补术对术后恢复及应激指标的影响[J]. 现代中西医结合杂志, 2018, 27(29): 93-96.
[7]	罗文勇. 腹腔镜经腹腹膜前疝修补术与完全腹膜外疝修补术治疗双侧腹股沟疝疗效比较[J/CD]. 中华疝和腹壁外科杂志(电子版), 2017, 11(2): 112-114.
[8]	李紫阳，豆中敏. 腹股沟疝患者行腹腔镜修补术后的复发与并发症及其影响因素探究[J]. 山西职工医学院学报, 2017, 27(2): 58-60.
[9]	刘英，王中胜，魏开明. 骶管阻滞复合七氟醚吸入全麻与氯胺酮静脉全麻在小儿腹股沟疝手术中的比较[J]. 中国社区医师, 2016, 32(1): 52-53.
[10]	田航，李新宇，黄俊祥, 等. 超声引导下腹横肌平面阻滞在小儿腹腔镜腹股沟疝手术中的应用[J/CD]. 中华疝和腹壁外科杂志(电子版), 2017, 11(3): 206-210.
[11]	Mishina T, Aiba T, Hiramatsu K, et al. Comparison between dexmedetomidine and midazolam as a sedation agent with local anesthesia in inguinal hernia repair: randomized controlled trial[J]. Hernia, 2017, 22(53): 1-8.

组别	例数	手术时间?(min)	术后下床活动?时间(h)	术后视觉模拟?评分(分)	住院时间?(d)
全麻组	35	47.85±7.91	6.87±1.21	2.26±0.41	2.37±1.28
局麻组	35	39.22±6.34	2.36±0.56	3.79±1.13	1.14±0.83
t值	?	5.036	20.011	7.530	4.770
P值	?	0.001	0.001	0.002	0.003

组别	例数	手术时间?(min)	术后下床活动?时间(h)	术后视觉模拟?评分(分)	住院时间?(d)
全麻组	35	47.85±7.91	6.87±1.21	2.26±0.41	2.37±1.28
局麻组	35	39.22±6.34	2.36±0.56	3.79±1.13	1.14±0.83
t值	?	5.036	20.011	7.530	4.770
P值	?	0.001	0.001	0.002	0.003

组别	例数	切口感染	尿潴留	恶心呕吐	皮下积液	发生率
全麻组	35	2(5.71)	6(17.14)	4(11.43)	3(6.67)	15(42.86)
局麻组	35	0	2(5.71)	1(2.86)	1(2.86)	4(11.43)
χ²值	?	5.878	6.455	5.535	1.599	24.975
P值	?	0.015	0.011	0.019	0.206	0.001

组别	例数	切口感染	尿潴留	恶心呕吐	皮下积液	发生率
全麻组	35	2(5.71)	6(17.14)	4(11.43)	3(6.67)	15(42.86)
局麻组	35	0	2(5.71)	1(2.86)	1(2.86)	4(11.43)
χ²值	?	5.878	6.455	5.535	1.599	24.975
P值	?	0.015	0.011	0.019	0.206	0.001

[1]	Xinmin Liao, Yuemei Li, Chanchan Chen, Guicong Ding. Research progress in pulp therapy of primary teeth under general anesthesia [J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(02): 128-132.
[2]	Yongjun Yang, Yiming Zeng, Xianya He, Qiang Lu, Yuanwei Li. Safety and effectiveness of multi-mode image fusion targeted transperineal biopsy technique under local anaesthesia in patients with ASA grade ≥Ⅲ [J]. Chinese Journal of Endourology(Electronic Edition), 2024, 18(05): 441-447.
[3]	Fei Zhang, Chenxiang Xu, Tao Shao, Wei Wang, Hongqing Zhou. Study on the application of bladder flexible cystoscopy in the treatment of residual stones after percutaneous nephrolithotomy for complex renal calculi under local anesthesia [J]. Chinese Journal of Endourology(Electronic Edition), 2024, 18(01): 69-73.
[4]	Xiepeng Zuo, Diansheng Zhou, Jian Wang, Wenbo Liu, Changli Wu, Dawei Tian. Experiences of flexible cystoscopy combined with thulium laser under local anesthesia for the treatment of patients with bladder tumors of high-risk anesthesia [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(06): 563-569.
[5]	Gaomeng Wei, Zhenjie Li, Huawu Huang, Baode Lu, Zhidi Lin, Zhengfang Liang, Liuxing Wei, Yongping Huang. Analysis of the effect of Y-shaped negative pressure suction sheath on percutaneous nephrolithotomy without retrograde intubation under local anesthesia [J]. Chinese Journal of Endourology(Electronic Edition), 2022, 16(04): 343-346.
[6]	Xiaofeng Zhao, Ming Liu, Yuanwen Jiang, Jingyi Lu, Binjie Su, Xiao Chen. Analysis of clinical results of tubeless-minimally invasive percutaneous nephrolithotripsy with local anesthesia [J]. Chinese Journal of Endourology(Electronic Edition), 2022, 16(03): 235-238.
[7]	Zhijing Yuan, Jie Huang, Guoan He, Huiqiang Fang. Application of local block anesthesia with ropivacaine and dexmedetomidine in elderly patients undergoing laparoscopic tension-free inguinal hernia repair [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(05): 557-561.
[8]	Huiyong Jiang, Liu Yang, Jixiang Guo, Chunshuai Wang, Chun Ma, Qi Li, Xiangjun Cai. Laparoscopic totally extraperitoneal inguinal hernia repair via the affected side lateral space approach [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(04): 414-417.
[9]	Jing Tian, Xiuchun Fang. The application effect of ultrasound-guided transverse fascial plane block in pediatric inguinal hernia surgery [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 740-744.
[10]	Tao Peng, Zhifu Wu, Junsheng Zhang. Effect of caudal block combined with general anesthesia in laparoscopic surgery for indirect inguinal hernia in children [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(04): 449-453.
[11]	Chunhua Ye, Yuhuan Shang, Juan Li. Whole-course management of patients undergoing general anesthesia for day surgery of inguinal hernia [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(04): 487-490.
[12]	Huihui Li, Ning Cai, Shuangshuang Guan, Kang Yang, Zhongxin Li. Efficacy of general anesthesia combined with ilioinguina-iliohypoabdominal nerve block in laparoscopic hernia repair in elderly patients [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(03): 278-281.
[13]	Wenxue Zhang, Xue Yang. Study on the influence of personalized nursing intervention on postoperative physiological and psychological index of patients undergoing inguinal hernia operation [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(02): 247-250.
[14]	Chen Yan, Tao Liu, Fei Xuan. Effects of ultrasound guidance combined with general anesthesia on serum NGF-β and MBP in elderly patients with lung lobectomy and postoperative outcome [J]. Chinese Journal of Lung Diseases(Electronic Edition), 2022, 15(02): 192-196.
[15]	Xing Yang, Mei Liu, Siyuan Liu, Ke Zhang. Analysis of preoperative anxiety and postoperative recovery restlessness in patients with gastrointestinal cancer and their influencing factors [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2024, 14(02): 159-163.

Please choose a citation manager

Content to export