Perioperative nursing of totally extraperitoneal laparoscopic hernia repair under local anesthesia

作者：Chunhua Ni · 年份：2011 · 研究领域：Hernia repair and management、Congenital Diaphragmatic Hernia Studies

Objective To summarize perioperative nursing experience of totally extraperitoneal laparoscopic hernia repair under local anesthesia.Methods The effect of perioperative nursing on 26 cases with inguinal hernia treated by totally extraperitoneal laparoscopic hernia repair under local anesthesia from January 2009 to January 2010 was observed.Results All cases were operated successfully.The average postoperative stay was 2.4(1-4) days.Most complications included 2 cases of subcutancous emphysema.There were no complications of hematoma/seroma,persistent nervous pain,wound infection,mesh infection after operations,and urinary retentio.All patients were followed up for 8(3～15) months,and there were no recurrence.Conclusion Totally extraperitoneal laparoscopic hernia repair under local anesthesia is safe and effective for inguinal hernia with advantages of less pain,quick recovery and,lower operation cost,which can be easily accepted by both patients and surgeons.It can obviously reduce the nursing workload,but mental nursing is also very important.