Abstract: Inguinal hernia is a common disease in general surgery because of its high incidence in elderly patients. As the elderly are often associated with circulatory and respiratory diseases, the choice of surgical methods and anesthesia should be more careful and targeted, and individualized treatment should be implemented.This paper will review the development history of inguinal hernia surgery, discuss the development of various inguinal hernia surgery, and focus on the local anesthesia of the preperitoneal space hernia repair of various representative surgery in the elderly inguinal hernia research progress.In the past 10 years, there have been more than 500 cases of local anaesthesia preperitoneal space hernia repair in author department, and accumulated lots of clinical experience. Now, author combine domestic with foreign literature reports and my own surgical experience, this paper reviews the progress of local anaesthesia preperitoneal space hernia repair in the treatment of inguinal hernia.

Key words: hernia repair, inguinal hernia, preperitoneal space, localanaesthesia

摘要： 腹股沟疝在老年患者中有较高的发病率,由于老年人常合并有循环系统、呼吸系统疾病,在手术术式、麻醉的选择时需要更加谨慎,更有针对性,需要实施个体化治疗。本文将回顾腹股沟疝手术的发展简史,探讨各种腹股沟疝手术的发展历程,并着重讲述局麻下腹膜前间隙疝修补术的各种代表术式在老年腹股沟疝的治疗研究进展。笔者所在科室近10年开展局麻下腹膜前间隙疝修补术已有五百多例,积累了较多的临床经验,现结合国内外文献报道及自身手术经验,对局麻腹膜前间隙修补术在老年腹股沟疝的治疗进展做一综述。

关键词: 腹股沟疝, 局麻, 腹膜前间隙疝修补术, 疝修补术