Using local rather than general anesthesia for inguinal hernia repair is associated with shorter operative time and enhanced postoperative recovery.
Using local rather than general anesthesia for inguinal hernia repair is associated with shorter operative time and enhanced postoperative recovery.
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DOI：
10.1016/j.amjsurg.2020.08.024
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发表时间：
2021-05
影响因子：
3
通讯作者：
Brown CJ
中科院分区：
文献类型：
--
作者：
Balentine CJ;Meier J;Berger M;Hogan TP;Reisch J;Cullum M;Zeh H;Lee SC;Skinner CS;Brown CJ
Inguinal hernia repair is the most common general surgery procedure and can be performed under local or general anesthesia. We hypothesized that using local rather than general anesthesia would improve outcomes, especially for older adults. This is a retrospective review of 97,437 patients in the Veterans Affairs Surgical Quality Improvement Program who had open inguinal hernia surgery under local or general anesthesia. Outcomes included 30-day postoperative complications, operative time, and recovery time. Our cohort included 22,333 (23%) Veterans who received local and 75,104 (77%) who received general anesthesia. Mean age was 62 years. Local anesthesia was associated with a 37% decrease in the odds of postoperative complications (95% CI 0.54–0.73), a 13% decrease in operative time (95% CI 17.5–7.5), and a 27% shorter recovery room stay (95% CI 27.5–25.5), regardless of age. Using local rather than general anesthesia is associated with a profound decrease in complications (equivalent to “de-aging” patients by 30 years) and could significantly reduce costs for this common procedure. We found that using local rather than general anesthesia for inguinal hernia surgery was associated with significantly fewer complications and less time in the operating room and post-anesthesia care units, regardless of patient age. The importance of this finding is the potential reduction in postoperative morbidity, mortality, and costs for the most common general surgery procedure performed in the US.
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影响因子：
14
作者：
Chen, Chia-Wen;Lin, Che-Chen;Chung, Chi-Jung
通讯作者：
Chung, Chi-Jung
影响因子：
168.9
作者：
Nordin, P;Zetterström, H;Nilsson, E
通讯作者：
Nilsson, E
影响因子：
120.7
作者：
Sheffield, Kristin M.;Riall, Taylor S.;Goodwin, James S.
通讯作者：
Goodwin, James S.
影响因子：
3.7
作者：
Davis N;Lee M;Lin AY;Lynch L;Monteleone M;Falzon L;Ispahany N;Lei S
通讯作者：
Lei S
影响因子：
9
作者：
Khuri, SF;Daley, J;Stemple, JF
通讯作者：
Stemple, JF