Randomized comparison of the feasibility of three anesthetic techniques for day-case open inguinal hernia repair

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Pere , P , Harju , J , Kairaluoma , P , Remes , V , Turunen , P & Rosenberg , P H 2016 , ' Randomized comparison of the feasibility of three anesthetic techniques for day-case open inguinal hernia repair ' , Journal of Clinical Anesthesia , vol. 34 , pp. 166-175 . https://doi.org/10.1016/j.jclinane.2016.03.062

Title: Randomized comparison of the feasibility of three anesthetic techniques for day-case open inguinal hernia repair
Author: Pere, Pertti; Harju, Jukka; Kairaluoma, Pekka; Remes, Veikko; Turunen, Päivi; Rosenberg, Per H.
Contributor: University of Helsinki, Department of Diagnostics and Therapeutics
University of Helsinki, II kirurgian klinikka
University of Helsinki, Department of Diagnostics and Therapeutics
University of Helsinki, II kirurgian klinikka
University of Helsinki, Department of Diagnostics and Therapeutics
University of Helsinki, Clinicum
Date: 2016-11
Language: eng
Number of pages: 10
Belongs to series: Journal of Clinical Anesthesia
ISSN: 0952-8180
URI: http://hdl.handle.net/10138/228390
Abstract: Study objective: Comparison of local anesthetic infiltration (LAI), spinal anesthesia (SPIN) and total intravenous anesthesia (TIVA) for open inguinal herniorrhaphy. We hypothesized that patients receiving LAI could be discharged faster than SPIN and TWA patients. Design: Randomized, prospective trial. Setting: University hospital day-surgery center. Patients: 156 adult male patients (ASA 1-3) undergoing day-case open inguinal herniorrhaphy. Interventions: Patients were randomized to either LAI (lidocaine + ropivacaine), SPIN (bupivacaine + fentanyl) or TWA (propofol + remifentanil). Perioperative Ringer infusion was 1.5 mL/h. Urinary bladder was scanned before and after surgery. Interviews were performed on postoperative days 1, 7 and 90. Measurements: Duration of surgery, duration of the patients' stay in the operating room and time until their readiness for discharge home. Patient satisfaction and adverse effects were registered. Main results: Surgery lasted longer in LAI group (median 40 min) than in SPIN group (35 min) (P = .003) and TWA group (33 min) (P <.001). Although surgery was shortest in TWA group, TWA patients stayed longer in the operating room than LAI patients (P = .001). Time until readiness for discharge was shorter in LAI group (93 min) than in TWA (147 min) and SPIN (190 min) groups (P <.001). Supplementary lidocaine infiltration was given to 32 LAI patients, and IV fentanyl to 29 LAI and 4 SPIN patients. Ephedrine was required in 34 TIVA, 5 LAI and 5 SPIN patients. One SPIN and three LAI patients had to be given TWA and another SPIN patient LAI to complete the operations. Urinary retention was absent. Discomfort in the scar (26%) three months postoperatively was not anesthesia-related. Conclusions: Logistically, LAI was superior because of the fastest recovery postoperatively. The anesthetic techniques were adequate for surgery in all but a few LAI and SPIN patients. Lack of urinary retention was probably related to the small IV infusion volumes. (C) 2016 Elsevier Inc. All rights reserved.
Subject: Day-case surgery
Discharge home
Intravenous general anesthesia
Local anesthetic infiltration
Open inguinal hernia repair
Spinal anesthesia
LOW-DOSE BUPIVACAINE
GENERAL-ANESTHESIA
SPINAL-ANESTHESIA
PATIENT SATISFACTION
KNEE ARTHROSCOPY
CLINICAL-TRIAL
SUTURED MESH
HERNIORRHAPHY
SURGERY
PAIN
3126 Surgery, anesthesiology, intensive care, radiology
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