Novel local anesthesia technique ‘NATURE ’ (Nerves And Transversalis-fascia Using RopivacainE) to improve outcomes during endo-laparoscopic inguinal hernia repair
Autor: | Davide Lomanto, Shree Venkatesan, Lydia Q. Liew, Sujith Wijerathne, Louis Wai, Clement Loh, James Wai Kit Lee |
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Rok vydání: | 2022 |
Předmět: |
medicine.medical_treatment
Hernia Inguinal medicine Humans Ropivacaine Prospective Studies Fascia Herniorrhaphy Retrospective Studies Pain Postoperative business.industry Retrospective cohort study Inguinal hernia surgery medicine.disease Hernia repair Inguinal hernia medicine.anatomical_structure Baseline characteristics Anesthesia Operative time Laparoscopy Surgery business Anesthesia Local medicine.drug |
Zdroj: | Asian Journal of Surgery. 45:1547-1552 |
ISSN: | 1015-9584 |
Popis: | BACKGROUND The use of local anaesthesia infiltration techniques may attenuate pain following endo-laparoscopic inguinal hernia surgery. We aim to reduce post-operative pain and the subsequent need for analgesia using a novel technique of local anaesthesia infiltration 'NATURE' (Nerves And Transversalis-fascia Using RopivacainE). METHODS This is a retrospective study of patients who underwent endo-laparoscopic inguinal hernia repair in two institutions in Singapore. Patients who received the local anaesthesia according to the new technique (intervention group) were compared to patients who received local anaesthesia only over their surgical incisions (control group). RESULTS Data on 97 patients were analysed. There were 50 (51.5%) patients in the intervention group and 47 (48.5%) patients in the control group. No significant differences were observed in the two patient population's baseline characteristics, operative time and cumulative need for medications. The intervention group reported lower pain levels immediately after surgery (1.4 ± 1.7 versus 2.4 ± 1.9, p |
Databáze: | OpenAIRE |
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