腹股沟疝患者门诊手术治疗特点分析

P. Rodríguez
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摘要

简介:近十年来,腹股沟疝的手术治疗有所增加,其患病率尚不清楚。目的:探讨腹股沟疝患者的门诊手术治疗特点。方法:对1月以来在恩里克卡布雷拉综合教学医院门诊行腹股沟疝手术的972例患者进行观察性、描述性和前瞻性研究。从2009年到2020年12月。排除急诊手术患者。结果:腹股沟疝以60 ~ 80岁年龄组发生率最高。右腹股沟斜疝发生率较高。Desarda解剖手术技术应用最多,为410例(42.1%),Lichtenstein疝成形术次之,为224例(23.0%)。总共有5例(0.5%)复发。局部麻醉828例(85.2%),门诊麻醉100%。并发症42例(4.3%)。结论:手术治疗腹股沟疝在门诊基础上是一个适当的过程。它给病人带来了舒适感,降低了医院感染的风险,减少了等候名单和医院费用。
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Characterization of Patients with Inguinal Hernia Ambulatory Surgical Treatment
Introduction: the surgical treatment of inguinal hernia has increased in the last decade and its prevalence is not known. Objective: Characterization of patients with inguinal hernia ambulatory surgical treatment. Methods: an observational, descriptive and prospective study of 972 patients with the diagnosis of inguinal hernia was performed, which were operated on an outpatient basis in the General Teaching Hospital "Enrique Cabrera" since January. From 2009 to December 2020. Emergency operated patients were excluded. Results: the highest incidence of inguinal hernia was found between the ages of 60 and 80 years. Indirect right inguinal hernia appeared more frequently. Desarda's anatomic surgical technique was the most applied in 410 (42,1%) of the cases and Lichtenstein's hernioplasty with 224 (23.0%) followed in frequency. There was a total of 5 (0.5%) recurrences. Local anesthesia was applied in 828 (85.2%) of the patients, on an outpatient basis they were 100%. The total complications were 42 (4.3%). Conclusions: surgical treatment of inguinal hernia on an outpatient basis is an appropriate process. It creates comfort in patients, decreases the risk of hospital infection, and reduces waiting lists and hospital costs.
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