지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2007.1
- 수록면
- 57 - 62 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: The aims of this study were to evaluate the feasibility of local anesthesia in tension-free herniorrhaphy, using prosthetic mesh, and to directly compare PHS<SUP>®</SUP> and Perfix<SUP>®</SUP> herniorrhaphy under local anesthesia.
Methods: Patients with a groin hernia, who underwent tension-free herniorrhaphy (n=107) under local anesthesia between March 2003 and February 2006, were included. PHS<SUP>®</SUP> (n=63) and Perfix<SUP>®</SUP> (n=44) meshes were randomly used, with no difference between the PHS<SUP>®</SUP> and Perfix<SUP>®</SUP> groups in relation to mean age, gender, number of combined diseases, body mass index (BMI), recurred hernia and types of hernia.
Results: Intraoperative analgesics and/or sedatives were used in 55 patients (51.4%) where local anesthesia was insufficient. In a univariate analysis, the additional use of intraoperative analgesics and/or sedatives was related to the patient’s age and BMI. The patients at an older age and with a lower BMI were more tolerant to local anesthesia. However, only the BMI was found to be a statistically significant factor from the multivariate analysis. There was no significant difference between the PHS<SUP>®</SUP> and Perfix<SUP>®</SUP> groups on the additional use of intraoperative analgesics and/or sedatives, the use of postoperative analgesics, length of hospital stay, complication and recurrence (P＞0.05).
Conclusion: With tension-free herniorrhaphy using the PHS<SUP>®</SUP> or Perfix<SUP>®</SUP> mesh, local anesthesia was acceptable and securable, regardless of the mesh type used. Among these patients, those at an older age and with a lower BMI were more tolerant to local anesthesia.
Methods: Patients with a groin hernia, who underwent tension-free herniorrhaphy (n=107) under local anesthesia between March 2003 and February 2006, were included. PHS<SUP>®</SUP> (n=63) and Perfix<SUP>®</SUP> (n=44) meshes were randomly used, with no difference between the PHS<SUP>®</SUP> and Perfix<SUP>®</SUP> groups in relation to mean age, gender, number of combined diseases, body mass index (BMI), recurred hernia and types of hernia.
Results: Intraoperative analgesics and/or sedatives were used in 55 patients (51.4%) where local anesthesia was insufficient. In a univariate analysis, the additional use of intraoperative analgesics and/or sedatives was related to the patient’s age and BMI. The patients at an older age and with a lower BMI were more tolerant to local anesthesia. However, only the BMI was found to be a statistically significant factor from the multivariate analysis. There was no significant difference between the PHS<SUP>®</SUP> and Perfix<SUP>®</SUP> groups on the additional use of intraoperative analgesics and/or sedatives, the use of postoperative analgesics, length of hospital stay, complication and recurrence (P＞0.05).
Conclusion: With tension-free herniorrhaphy using the PHS<SUP>®</SUP> or Perfix<SUP>®</SUP> mesh, local anesthesia was acceptable and securable, regardless of the mesh type used. Among these patients, those at an older age and with a lower BMI were more tolerant to local anesthesia.
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UCI(KEPA) : I410-ECN-0101-2013-514-002674677