Abstract
Aim:
Our aim in this study is to evaluate operations and results performed with local anesthesia by a single
surgeon in a district hospital.
Methods:
We retrospectively reviewed the medical records of 44 patients (inguinal hernia
11, umbilical hernia 11, pilonidal sinus 11, anal fissure 6and perianal abscess
5 patients) operated with local anesthesia by a single surgeon in Ağrı Diyadin
state hospital between february 2013 and december 2013
Results:A
total of 28 male and 16 female patients were operated. median age of the
patients was 38.2 years. The
meanhospital staywas 32hours (20-72 hours). The mean time to return to work was 10 days (5-30
days). In 9
patients(20.4%)postoperative morbidity developed. They were paresthesia on
operation region, seroma and wound infection.
Conclusion:
Local anesthesia can be safely administered at local centers that is not
adequate technical hardware and equipment
References
- 1. SSAT Patient care guidelines Surgical repair of groin hernias. J Gastrointest Surg 2007; 11: 1228-1230
- 2. Amid PK, Shulman AG, Lichtenstein IL. Local anesthesia for inguinal hernia repair step-by-step procedure.Ann Surg. 1994; 220: 735-737.
- 3. Kulacoglu H, Ozdogan M, Gurer A, Ersoy EP, Onder Devay A, Duygulu Devay S, et al. Prospective comparison of local, spinal, and general types of anaesthesia regarding oxidative stress following Lichtenstein hernia repair. Bratisl Lek Listy. 2007; 108: 335-339.
- 4. Kulacoglu H, Ozyaylali I, Yazicioglu D. Factors determining the doses of localanaesthetic agents in unilateral inguinal hernia repair. Hernia. 2009;13:511-516.
- 5. Kulacoglu H, Alptekin A. Current options in local anesthesia for groin hernia repairs. Acta Chir Iugosl. 2011;58:25-35.
- 6. Kulacoglu H. Current options in inguinal hernia repair in adult patients. Hippokratia. 2011; 15: 223-231.
- 7. Turrentine FE, Wang H, Simpson VB, Jones RS. Surgical risk factors, morbidity, and mortality in elderly patients. J Am Coll Surg. 2006;203:865-87.
- 8. Preston SD, Southall AR, Nel M, Das SK. Geriatric surgery is about disease, not age. J R Soc Med 2008; 101: 409-15.
- 9. Rodgers A, Walker N, Schug S, Mckee A, Kehlet H, van Zundert A, et al. Reduction of post-operative mortality and morbidity with epidural or spinal anaesthesia: Results from overview of randomised trials. BMJ. 2000; 321: 1-12.
- 10. Jensen P, Mikkelsen T, Kehlet H. Postherniorrhaphy urinary retention-effect of local, regional and general anesthesia: A review. Regional Anesthesia Pain Medicine. 2002; 27: 612- 617
- 11. Bay-Nielsen M, Kehlet H, Strand L, et al. Quality assessment of 26,304 herniorraphies in Denmark: A prospective nationwide study. Lancet. 2001;358:1124- 1128.
- 12. Karakaya K, Emre AU, Taşcılar Ö., Irkörücü O, Uçan HB, Çakmak G. et al. Yerel bir hastanede kasık fıtığı onarımı yapılan 230 hastanın sonuçları. Ulusal Cerrahi Dergisi. 2008;24(3):145-149.
Abstract
Amaç:
Bu çalışmadaki amacımız, bir ilçe hastanesinde tek cerrah tarafından lokal
anestezi ile yapılan yapılan ameliyatları ve sonuçlarını değerlendirmektir.
Yöntem:
Şubat 2013 ve Aralık 2013 tarihleri arasında Ağrı Diyadin İlçe Devlet
Hastanesinde tek cerrah tarafından lokal anestezi ile ameliyat edilen 44 hasta
(kasık fıtığı 11, göbek fıtığı 11, pilonidal sinüs 11, anal fissür 6 ve
perianal apse 5 hasta) çalışmaya dahil edildi. Opere edilen tüm hastaların
kayıtları retrospektif olarak incelendi.
Bulgular:
28 erkek, 16 kadın hasta opere edildi. Ortalama yaş 38.2yıl idi. Tüm hastalarda
ortalama hastanede kalış süresi 32 saat (20-72 saat) idi. Ortalama işe dönüş
zamanı 10 gün (5-30 gün) olarak hesaplandı. Toplam 9 hastada (%20.4)
postoperatif morbidite gelişti. Bunlar ameliyat bölgesinde parestezi, seroma ve
yara yeri enfeksiyonu idi.
Sonuç:
Lokal anestezi yeterli teknik donanımın ve ekipmanın olmadığı yerel merkezlerde
de güvenle uygulanabilir.
Keywords
References
- 1. SSAT Patient care guidelines Surgical repair of groin hernias. J Gastrointest Surg 2007; 11: 1228-1230
- 2. Amid PK, Shulman AG, Lichtenstein IL. Local anesthesia for inguinal hernia repair step-by-step procedure.Ann Surg. 1994; 220: 735-737.
- 3. Kulacoglu H, Ozdogan M, Gurer A, Ersoy EP, Onder Devay A, Duygulu Devay S, et al. Prospective comparison of local, spinal, and general types of anaesthesia regarding oxidative stress following Lichtenstein hernia repair. Bratisl Lek Listy. 2007; 108: 335-339.
- 4. Kulacoglu H, Ozyaylali I, Yazicioglu D. Factors determining the doses of localanaesthetic agents in unilateral inguinal hernia repair. Hernia. 2009;13:511-516.
- 5. Kulacoglu H, Alptekin A. Current options in local anesthesia for groin hernia repairs. Acta Chir Iugosl. 2011;58:25-35.
- 6. Kulacoglu H. Current options in inguinal hernia repair in adult patients. Hippokratia. 2011; 15: 223-231.
- 7. Turrentine FE, Wang H, Simpson VB, Jones RS. Surgical risk factors, morbidity, and mortality in elderly patients. J Am Coll Surg. 2006;203:865-87.
- 8. Preston SD, Southall AR, Nel M, Das SK. Geriatric surgery is about disease, not age. J R Soc Med 2008; 101: 409-15.
- 9. Rodgers A, Walker N, Schug S, Mckee A, Kehlet H, van Zundert A, et al. Reduction of post-operative mortality and morbidity with epidural or spinal anaesthesia: Results from overview of randomised trials. BMJ. 2000; 321: 1-12.
- 10. Jensen P, Mikkelsen T, Kehlet H. Postherniorrhaphy urinary retention-effect of local, regional and general anesthesia: A review. Regional Anesthesia Pain Medicine. 2002; 27: 612- 617
- 11. Bay-Nielsen M, Kehlet H, Strand L, et al. Quality assessment of 26,304 herniorraphies in Denmark: A prospective nationwide study. Lancet. 2001;358:1124- 1128.
- 12. Karakaya K, Emre AU, Taşcılar Ö., Irkörücü O, Uçan HB, Çakmak G. et al. Yerel bir hastanede kasık fıtığı onarımı yapılan 230 hastanın sonuçları. Ulusal Cerrahi Dergisi. 2008;24(3):145-149.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Articles |
| Authors | |
| Publication Date | March 1, 2017 |
| Published in Issue | Year 2017 Volume: 9 Issue: 1 |
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