Evaluation of inguinal hernia in ambulatory surgery: A prospective monocentric study on 1009 inguinal hernia

Q4 Nursing Ambulatory Surgery Pub Date : 2006-07-01 DOI:10.1016/j.ambsur.2005.11.002

E. Jacquet , P. Puche , J. Alahyane , S. Jaber , J.P. Carabalona , D. Bessaou , J. Domergue , J.J. Eledjam , F. Navarro , J. Giordan

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引用次数: 21

Abstract

Ambulatory surgery for inguinal hernia has not been really developed in our country.

Aim

We evaluated the feasibility of inguinal hernia surgery on ambulatory.

Patients and methods

From January 1995 to June 2004, we performed 1009 inguinal hernia. There were 934 men (92.8%) and 75 women (7.2%). Middle age was 58.36 years (range: 7–95 years). All the patients were examined by their primary doctor on the first and the third day and by the surgeon on the tenth day after discharge. Telephone follow-up on the patient's condition was performed by a registered nurse on postoperative days 1 and 3.

Results

Eight hundred and thirty three patients were operated on by ambulatory surgery (82.5%). Overall morbidity was 8.5% (n = 86). Satisfaction index was excellent for 93.8% (n = 948). Locoregional anesthesia alone or associated with general anesthesia was used for 900 patients (98.1%). Only 466 patients (46.2%) were painful, 258 (25.55%) had a discomfort, and 285 (28.24%) had no symptomatology.

Conclusion

Tension-free technique under locoregional anesthesia for inguinal hernia allows ambulatory surgery with a low rate of morbidity and high satisfaction index.

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门诊手术对腹股沟疝的评价:1009例腹股沟疝的前瞻性单中心研究

腹股沟疝的门诊手术在我国还没有真正发展起来。目的:探讨腹股沟疝门诊手术的可行性。患者与方法1995年1月至2004年6月对1009例腹股沟疝进行手术治疗。男性934例(92.8%)，女性75例(7.2%)。中年58.36岁(范围7 ~ 95岁)。所有患者出院后第1天和第3天由主治医生检查，第10天由外科医生检查。术后第1天和第3天由注册护士对患者情况进行电话随访。结果门诊手术833例，占82.5%。总发病率为8.5% (n = 86)。满意度为优的占93.8% (n = 948)。900例(98.1%)患者采用单纯局部麻醉或联合全身麻醉。疼痛466例(46.2%)，不适258例(25.55%)，无症状285例(28.24%)。结论局部麻醉下无张力技术治疗腹股沟疝，手术成功率低，满意度高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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