Prolonged local anesthesia for inguinal hernioplasty

Authors

  • V. V. Boiko State Institution ‘‘Institute of General and Emergency Surgery named after V. T. Zaitsev of the National Academy of Medical Sciences of Ukraine’, Kharkiv
  • K. Yu. Parkhomenko Kharkiv National Medical University, Kharkiv

DOI:

https://doi.org/10.11603/2414-4533.2020.4.11791

Keywords:

inguinal hernia, Lichtenstein hernioplasty, prolonged local anesthesia, immediate result

Abstract

The aim of the work: to improve the results of surgical treatment of inguinal hernias by developing an effective and safe method of postoperative analgesia.

Materials and Methods. The article describes a new method of postoperative analgesia in patients who underwent Lichtenstein open alloplasty of inguinal hernia. The essence of the method is the input of catheter for prolonged injection of local anesthetic into the postoperative wound during surgery (before closing the wound) under direct visual control of the catheter for prolonged injection of local anesthetic into the postoperative wound area. Hernioplasty was performed under spinal anesthesia, in the postoperative period through a catheter was injected bolus of 0.25 % lidocaine. The technique was used in 11 patients.

Results and Discussion. In all cases, it was possible to abandon the use of narcotic analgesics and achieve good control of postoperative pain. In comparison with the traditional management of the postoperative period in patients with prolonged local anesthesia, motor activity was restored more quickly, the duration of hospitalization was reduced. There were no complications.

References

Hernia Surge Group (2018). International guidelines for groin hernia management. Hernia, 22 (1), 1-165. DOI: 10.1007/s10029-017-1668-x.

Achkasov, E.E., & Melnikov, P.V. (2015). Sovremennyye tendentsii v khirurgii pakhovykh gryzh: mirovaya praktika [Current tendencies in surgery for inguinal hernias: world experience]. Khirurhiia. Zhurnal im. M. I. Pyrohova – Surgery. Journal named after M. I. Pyrohov, 10, 88-93. DOI: 10.17116/hirurgia20151088-93 [in Russian].

Ansari, D., Gianotti, L., Schröder, J., & Andersson, R. (2013). Fast-track surgery: procedure-specific aspects and future direction. Langenbecks Arch. Surg., 398 (1), 29-37.

Rodrigues, G., Ravi, Ch., & Prabhu, R. (2013). Fast-track surgery: A new concept of perioperative management of surgical patients. J. Health Specialties, 1 (3), 114-121.

Wahal, C., Kumar, A., & Pyati, S. (2018). Advances in regional anaesthesia: A review of current practice, newer techniques and outcomes. Indian J. Anaesthesiol, 62 (2), 94-102.

Bojaxhi, E., Lee, J., Bowers, S., Frank, R.D., Pak, S.H., Rosales, A., ..., & Greengrass, R.A. (2018). Paravertebral blocks reduce the risk of postoperative urinary retention in inguinal hernia repair. Hernia, 22 (5), 871-879. DOI: 10.1007/s10029-018-1792-2.

Zhou, Y., Chen, M., Zhang, Y., Zhou, H., Yu, X., & Chen, G. (2019). Ilioinguinal/iliohypogastric nerve block versus transversus abdominis plane block for pain management following inguinal hernia repair surgery: A systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore), 98 (42), e17545. DOI: 10.1097/MD.0000000000017545.

Børglum, J., Gögenür, I., & Bendtsen, T.F. (2016). Abdominal wall blocks in adults. Curr. Opin. Anaesthesiol., 29 (5), 638-643. DOI: 10.1097/ACO.0000000000000378.

Bhatia, N., Sen, I.M., Mandal, B., & Batra A. (2019). Postoperative analgesic efficacy of ultrasound-guided ilioinguinal-iliohypogastric nerve block compared with medial transverse abdominis plane block in inguinal hernia repair: A prospective, randomised trial. Anaesth. Crit. Care Pain Med., 38 (1), 41-45. DOI: 10.1016/j.accpm.2018.03.007.

Doble, J.A., Winder, J.S., Witte, S.R., & Pauli, E.M. (2018). Direct visualization transversus abdominis plane blocks offer superior pain control compared to ultrasound guided blocks following open posterior component separation hernia repairs. Hernia, 22 (4), 627-635. DOI: 10.1007/s10029-018-1775-3.

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Published

2021-02-15

How to Cite

Boiko, V. V., & Parkhomenko, K. Y. (2021). Prolonged local anesthesia for inguinal hernioplasty. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 89–93. https://doi.org/10.11603/2414-4533.2020.4.11791

Issue

No. 4 (2020)

Section

EXPERIENCE OF WORK

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