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Type: Journal article
Title: Peri-operative outcome for day-case laparoscopic and open inguinal hernia repair.
Author: Rudkin, G.
Maddern, G.
Citation: Anaesthesia, 1995; 50(7):586-589
Publisher: Academic Press
Issue Date: 1995
ISSN: 0003-2409
Abstract: This study documents the results obtained in 30 day patients undergoing open hernia repair under local infiltration block with patient-controlled sedation (group A) and 29 day patients undergoing laparoscopic hernia repair under general anaesthesia (group B). The mean operating time was less in group A (44.8 min) compared with group B (66.6 min) (p < 0.0001). Similarly, stage 1 recovery room times were longer in group B (98.1 min) than group A (45.1 min) (p < 0.0001). Time to discharge for group A (139.1 min) was significantly shorter than group B (224.2 min) (p < 0.002), with more peri-operative complications occurring in group B and greater analgesic requirements. An open inguinal hernia repair under local infiltration block is the optimal approach for unilateral non-recurrent herniae as a day surgical procedure. These results have important cost and efficiency implications.
Keywords: Humans; Hernia, Inguinal; Postoperative Complications; Laparoscopy; Treatment Outcome; Analgesia, Patient-Controlled; Anesthesia, General; Conscious Sedation; Ambulatory Surgical Procedures; Intraoperative Period; Follow-Up Studies; Adolescent; Adult; Middle Aged; Female; Male
RMID: 0030004555
DOI: 10.1111/j.1365-2044.1995.tb15108.x
Appears in Collections:Surgery publications

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