关键词: 局部麻醉, 李金斯坦手术, 腹股沟疝

Abstract: 【Abstract】 Objective To observe the clinical efficacy of Lichtenstein tension-free hernioplasty in the treatment of elderly inguinal hernia patients who withdrawing anticoagulants and antiplatelet. Methods A retrospective analysis was made of the clinical data of 108 elderly male patients with long-term use of anticoagulants treated by Lichtenstein tension-free hernioplasty in gastrointestinal surgery of the Eight Affiliated Hospital of Sun Yat-sen University from January 2015 to December 2017 under local infiltration anesthesia. Results There was no death and no serious complications during the perioperative period. The operation lasted 50 to 105 min with bleeding of 5 to 20 ml and normal oxygen saturation. After operation, patients were given general diet and no urinary retention occurred. There were 8 patients with seroma, which improved after aspiration, and no incision infection. During the operation, blood pressure increased in 12 cases and heart rate increased in 10 cases. There were 16 cases of pain during operation. The pain score (visual analogue score) at 6, 12 and 24 hours after operation was below 3. There were 2 cases of chronic pain and abnormal sensation after operation. Conclusion For elderly patients at high risk of thromboembolism this may be safe way to decrease bleeding risk with no anticoagulants and antiplatelets when undergoing Lichtenstein tension-free hernioplasty.

Key words: local anesthesia, lichtenstein operation, inguinal hernia