Local anesthesia for inguinal hernia repair in adolescents

Olsha, Oded; Feldman, Adam S.; Odenheimer, D. B.; Frankel, David

doi:10.1007/s10029-007-0256-x

Cited by 9 publications

(4 citation statements)

References 13 publications

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“…Recent research has shown that same-day surgery for patients undergoing inguinal hernia repair under local anesthesia is reliable, and applicable to patients of various ages differing in terms of surgical risk, who were not included in our group. [9][10][11] However, inguinal hernia patients in our ASA III risk group (with controlled disease) were discharged later than ASA I and II patients. Same-day surgery was performed on 89.9% of the latter patients, but only 45.5% of the former, showing that when inguinal hernia surgery with local anesthesia is planned, ASA risk status must be considered if outpatient surgery is contemplated.…”

Section: Discussionmentioning

confidence: 78%

Is Same-Day Inguinal Hernia Surgery Possible?

Çapoğlu

Tiryaki

Karğı

et al. 2016

International Surgery

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The Lichtenstein hernia repair is associated with low recurrence rates and short operation times, and can be performed under local anesthesia. Thus, this is among the mostpreferred methods used in recent years. Our objective was to explore the same-day discharge rates, and the causes of delayed discharge and re-admission to hospital, of patients treated using the Lichtenstein repair method, to evaluate the feasibility of performing same-day hernia surgery in clinical practice. One hundred of a total of 236 patients diagnosed with unilateral inguinal or femoral hernias, who required surgical treatment, and who agreed with the conditions of the study, were prospectively included. All patients were treated using the Lichtenstein mesh repair method, under local anesthesia between June 2006 and January 2008. We investigated the types and locations of hernias, duration of surgery, seniority of the surgeon, the feasibility of same-day surgery in subgroups stratified by ASA risk scores, and postoperative complication rates, in patients who underwent inguinal surgery under local anesthesia. The rates of pain and postoperative complications were very low in hernia patients who underwent same-day surgery under local anesthesia. The operation reduces the length of hospital stay and helps patients mobilize earlier. Both the literature, and our data, indicate that inguinal hernia repair under local anesthesia is safe and effective, reducing anesthesia-related complications and the length of hospital stay; is cost-effective; and is applicable in all patients.

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Section: Discussionmentioning

confidence: 78%

Is Same-Day Inguinal Hernia Surgery Possible?

Çapoğlu

Tiryaki

Karğı

et al. 2016

International Surgery

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“…Kada je u pitanju infiltrativna anestezija, pacijentu je neophodno objasniti da u toku hirurškog zahvata neće osetiti bol, ali da može očekivati osećaj dodira i povlačenja tkiva u regiji operacije. Za lokalnu anesteziju se preporučuje mešavina 1% lidokaina i 0,5% bupivakaina u odnosu 1:1 17 . Kombinacija ova dva lokalna anestetika ima prednosti, jer lidokain obezbeđuje brz početak dejstva, a bupivakain produžava dejstvo anestezije.…”

Section: Tehnike Aplikovanja Lokalne Infiltrativne Anestezijeunclassified

“…Dodavanje adrenalina kombinaciji lokalnih anestetika produžava trajanje anestezije. Adrenalin se ne primenjuje kod bolesnika na terapiji inhibitorima mono-amino-oksidaze ili tricikličnih antidepresiva, jer postoji mogućnost za nastank ozbiljne prolongirane hipertenzije 17 .…”

Section: Tehnike Aplikovanja Lokalne Infiltrativne Anestezijeunclassified

Surgical wound infiltration by local anesthetic: Wound infiltration

Slavković¹,

Kostić²,

Milošević³

et al. 2019

Serb J Anest Inten Therapy

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SažetakSa razvojem ambulantne hirurgije, povećao se broj hirurških zahvata koji se izvode u uslovima lokalne infiltrativne anestezije. Infiltrativna anestezija se koristi samostalno za obezbeđivanje anestezije kod manjih hirurških procedura ili kao infiltrativna analgezija duž većih operativnih incizija u kombinaciji sa analgeticima, kod operacija u opštoj anesteziji, u sklopu multimodalnog analgetskog pristupa. Jednostruka infiltracija rane, u formi bloka na kraju hirurškog zahvata u opštoj ili regionalnoj anesteziji obezbeđuje kvalitetnu analgeziju u vremenski ograničenom intervalu, te je u cilju produženog delovanja lokalnih anestetika uvedena tehnika kontinuirane infiltrativne analgezije. Infiltrativna lokalna anestezija u kontinuiranom modalitetu smanjuje upotrebu opioidnih i neopioidnih analgetika, produžava trajanje analgezije (uglavom do 72 h) i omogućava mobilizaciju bolesnika. Pozitivan efekat infiltrativne anestezije opisan je kod operacija preponskih kila, dojke, u kardiotorakalnoj, ortopedskoj i ginekološkoj hirurgiji. U abdominalnoj hirurgiji kompleksna inervacija trbušnog zida i intraabdominalnih organa zahteva primenu kombinovanja infiltrativne anestezije sa drugim modalitetima analgezije. Infiltrativna lokalna anestezija je bezbedna tehnika jer ne dovodi do infekcije hirurške rane i ne utiče na pojavu infekcije mesta hirurškog reza. Kako bi lokalna infiltrativna anestezija u potpunosti ispunila i opravdala očekivanja, neophodno je savladati relativno jednostavnu tehniku njene primene i svrsishodno je primenjivati. AbstractA large number of surgical interventions are performed ambulatory under local infiltrative anesthesia. Local anesthetic wound infiltration provides anesthesia for minor surgical procedures and perioperatively improves analgesia after surgery in general anesthesia as part of a multimodal analgesic approach. The effect of a single block wound infiltration at the end of a surgical procedure in general or regional anesthesia provides additional analgesia for several hours. Infiltrative local anesthesia performed in a continuous modality reduces the use of analgesics, prolongs duration of analgesia and enhances the patient's mobilization. Benefits of local infiltrative anesthesia are described in inguinal hernioplasty, breast surgery, sternotomy, orthopedic, and gynecological surgery. However, in abdominal surgery, continuous infiltrative local anesthesia is combined with other analgesic modalities respecting complex innervation of the abdominal wall and intra-abdominal organs,. Wound infiltration is a safe technique without the risk of surgical wound infection. There is a lack of data about cost-benefit ratio when wound infiltration is used. In order for local infiltrative anesthesia to fully meet the expectations it is necessary to have mastery of the relatively simple technique, and the knowledge of when it is suitable to appply.

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“…(1,2) Remifentanil etki baş-langıç ve bitişi hızlı olan, proteinlere dü-şük oranda bağlanan, diğer opioidlerden farklı olarak nonspesifik plazma ve doku kolinesterazları tarafından hidrolize edilen µ opioiddir.…”

Section: Introductionunclassified