Abstract

Objective To study the clinical efficacy of local infiltrative anesthesia in inguinal hernia operation in elderly patients. Methods The clinical data of 55 elderly male patients who underwent tension-free hernioplasty under local infiltrative anesthesia in No.105 Hospital of PLA from October 2016 to July 2017 were analyzed. Results All the patients underwent the operation successfully. The operation time was 55 to 95 minutes, and the oxygen saturation was normal during operation. Elevated blood pressure was observed in 32 cases and rapid heart rate in 18 cases. Intraoperative pain occurred in 11 patients. The pain scores (VAS) were≤3 at 2 hours, 12 hours, and 24 hours after surgery. All the patients were able to eat and defecate well, no retention of urine. 2 patients were suffered from seroma and cured by puncture, and there were no incision infection. Conclusion For elderly patients with inguinal hernia, operation under local infiltrative anesthesia is a relatively simple procedure with lower risk of complication, quicker recovery and a high degree of patient satisfaction. Key words: Hernia, inguinal; Local anesthesia; Herniorrhaphy

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