Anesthesia, Incarcerated Inguinal Hernia
Conditions
Keywords
Incarcerated, Anesthesia, Hernia
Brief summary
This prospective randomized is designed to evaluate the safety and efficacy of hernia repairs using local anesthesia compared with those using general anesthesia for patients with incarcerated hernia.
Detailed description
The outcome parameters measured included intraoperative conditions, postoperative conditions and long-term follow-up conditions.
Interventions
Patients in LA group received the local infiltration technique. A mixture of 2% lidocaine 20ml and 0.9%NS 30ml was used as the local anesthetic. Patients required extra analgesia during the surgery were given 20-40mg parecoxib sodium intravenously. Conversion to GA was performed if LA was intolerant for patient, which was evaluated by both anesthetists and surgeons.
In group GA, anesthesia was induced with propofol 2mg/kg and fentanyl 0.1-0.2mg intravenously. Inhalation anesthesia was given at the same time with a mixture of oxygen and isoflurane 1-2% through an intubation.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 18-70 years 2. Primary inguinal hernia 3. ASA I-II 4. Clinical diagnosis of incarcerated hernia 5. randomly select patch agreed by patients and family members
Exclusion criteria
1. severe organ dysfunction 2. No-tolerate anesthesia 3. No-suitable for operation 4. spirit disease patients 5. automatically exit
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recurrence rate | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Time to eat | 1 week to 1 month |
| Time to ambulation | 1 week to 1 month |
| Total cost | 1 week to 1 month |
| Time in ICU | 1 week |
| Time in hospital | 1 week to 1 month |
| Death in 30 days rate | 1 month |
| Complication rates | 1 week to 1 month |
Countries
China