Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents

BMC Surgery

Research Article

Hannu Paajanen¹  Riitta Varjo¹ 

[1] Department of Surgery, University Hospital of Kuopio, Puijonlaaksontie 2, 70210, Kuopio, Finland;Department of Surgery, Central Hospital of Mikkeli, Porrassalmenkatu 35-37, 50100, Mikkeli, Finland;

关键词: Inguinal Hernia;    Inguinal Hernia Repair;    Inguinal Hernioplasties;    Local Corticosteroid Injection;    Local Infiltration Anaesthesia;   

DOI  :  10.1186/1471-2482-10-24

 received in 2010-02-20, accepted in 2010-08-04,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundTo analyse in a prospective trial the long-term results of Lichtenstein hernioplasty performed by surgical trainees.MethodsTraining of tension-free Lichtenstein hernia operation was started in our ambulatory unit as an outpatient procedure under local anaesthesia in 1996. After performing 36 teaching operations together with residents and their supervising specialist, 281 patients were operated during 1996-2000 either by one senior consultant (n = 141) or by 12 surgical trainees (n = 140). After 10 years, 247 (88%) patients were available for the long-term assessment.ResultsAfter one month postoperatively, the rate of wound infections (consultant 1.1%, residents 0.7%) and hematomas (consultant 1.1%, residents 3.0%) were low and not related to surgeon's training level (ns). Only 6 (2.1%) clinically evident recurrences were found after 10 years: two after specialist repair and four after trainee repair (ns). Although one third of the patients reported some discomfort after 3 and 10 years, 93-95% of the patients were very satisfied with the operation, with no statistical difference between the surgeons.ConclusionAmbulatory open mesh repair under local anaesthesia was a safe operation and the long-term results were acceptable among the patients operated by surgical trainees.

【 授权许可】

CC BY   
© Paajanen and Varjo; licensee BioMed Central Ltd. 2010