PERFORMING TOTAL EXTRAPERITONEAL PLASTICS UNDER EPIDURAL ANESTHESIA IN PATIENTS WITH HIGH OPERATIVE-ANESTHESIOLOGICAL RISK
https://doi.org/10.17238/PmJ1609-1175.2019.2.68-69
Abstract
Summary: The experience of performing seven total extraperitoneal hernioplasty under epidural anesthesia is summarized. Intraoperative complications were not registered, the postoperative period was uneventful, there was no relapse during the observation period. The average length of inpatient stay was 3.3 bed-days. Considering the data obtained, it can be concluded that total extraperitoneal plasty in combination with epidural anesthesia can be an alternative to Lichnenstein›s operation.
About the Authors
V. N. Egiev
Russian Peoples Friendship University – RUDN
Russian Federation
21/3 Miklukho-Maklay St. Moscow 117198 Russian Federation
Russian Federation
21/3 Miklukho-Maklay St. Moscow 117198 Russian Federation
S. A. Kuliev
Russian Peoples Friendship University – RUDN
Russian Federation
21/3 Miklukho-Maklay St. Moscow 117198 Russian Federation
Russian Federation
21/3 Miklukho-Maklay St. Moscow 117198 Russian Federation
I. V. Evsyukova
Russian Peoples Friendship University – RUDN
Russian Federation
21/3 Miklukho-Maklay St. Moscow 117198 Russian Federation
Russian Federation
21/3 Miklukho-Maklay St. Moscow 117198 Russian Federation
M. Yu. Yudin
Russian Peoples Friendship University – RUDN
Russian Federation
21/3 Miklukho-Maklay St. Moscow 117198 Russian Federation
Russian Federation
21/3 Miklukho-Maklay St. Moscow 117198 Russian Federation
References
1. Egiev V.N. Hernias. Moscow: Medpraktika-M, 2015. 480 p.
2. Azurin D.J., Go L.S, Cwik J.C. [et al]. The efficacy of epidural anesthesia for endoscopic preperitoneal herniorrhaphy: A prospective study // Journal of Laparoendoscopic & Advanced Surgical Techniques. 2006. Vol. 6. P. 369–373.
3. Bittner R, Montgomery M.A., Arregui E. [et al.]. Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society) // Surg. Endosc. 2014. DOI: 10.1007/s00464-014-3917-8 (date of access: 15.05.2018).
4. Bittner R., Arregui M.E., Bisgaard T. [et al.]. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia // Surg. Endosc. 2012. Vol. 26. P. 2394–2395..
5. Bracale U., Melillo P., Pignata G. [et al.]. Which is the best laparoscopic approach for inguinal hernia repair: TEP or TAPP? A systematic review of the literature with a network meta-analysis // Surg. Endosc. 2012. Vol. 26. P. 3355–3366.
6. Chowbey P.K., Sood J., Vashistha A. [et al.]. Extraperitoneal endoscopic groin hernia repair under epidural anesthesia // Surg. Laparosc. Endosc. Percutan. Tech. 2003. Vol. 13. P. 185–190.
7. Ismail P., Garg P. Laparoscopic inguinal total extraperitoneal hernia repair under spinal anesthesia without mesh fixation in 1,220 hernia repairs // Hernia. 2009. Vol. 13. P. 115–119.
8. Lau H., Wong C., Chu K. [et al.]. Endoscopic totally extraperitoneal inguinal hernioplasty under spinal anesthesia // Journal of Laparoendoscopic & Advanced Surgical Techniques. 2005. Vol. 15. P. 121–124.
9. Miserez M., Peeters E., Aufenacker T. [et al.]. Guidelines of the European society of herniologists for the treatment of inguinal hernia in adult patients, supplemented by the results of studies of the 1st level of credibility // Hernia. 2014. Vol. 18, No. 2. P. 151–163.
10. Molinelli B.M., Tagliavia A., Bernstein D. Total extraperitoneal preperitoneal laparoscopic hernia repair using spinal anesthesia // JSLS. 2006. Vol. 10. P. 341–344.
11. Pawanindra L., Philips P., Saxena K.N. [et al.]. Laparoscopic total extraperitoneal (TEP) inguinal hernia repair under epidural anesthesia: a detailed evaluation // Surg. Endosc. 2007. Vol. 21. P. 595–601.
12. Simons M.P., Kukleta T.J., Lomanto D. [et al]. Guidelines of the European society of herniologists for the treatment of inguinal hernias in adult patients // Hernia. 2009. Vol. 13. P. 343–403.
Review
For citations:
Egiev V.N., Kuliev S.A., Evsyukova I.V., Yudin M.Yu. PERFORMING TOTAL EXTRAPERITONEAL PLASTICS UNDER EPIDURAL ANESTHESIA IN PATIENTS WITH HIGH OPERATIVE-ANESTHESIOLOGICAL RISK. Pacific Medical Journal. 2019;(2):68-69. (In Russ.) https://doi.org/10.17238/PmJ1609-1175.2019.2.68-69
Views:
304
Email this article 