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

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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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