Abstract | BACKGROUND: METHODS: Twenty-five American Society of Anesthesiologists (ASA) I or II patients underwent laparoscopic ventral hernia repair with low-pressure CO2 pneumoperitoneum under spinal anesthesia. In 9 cases the hernia was umbilical/para-umbilical, in 5 cases epigastric, and in 11 cases incisional. Intraoperative incidents, complications, postoperative pain, and recovery in general, as well as patient satisfaction at follow-up examination, were prospectively recorded. RESULTS: All operations were completed laparoscopically and conversion from spinal to general anesthesia was not required in any of the cases. Median pain score at 4 hours postoperatively was .5 (range 0-5), at 8 hours 1.5 (range 0-6), and at 24 hours 1.5 (range 0-4). Most patients were discharged 24 hours after the operation; the median hospital stay was 1 day (range 1-3 days). At 2-weeks follow-up, no late complications were detected and all patients reported being satisfied with the anesthetic procedure. CONCLUSION:
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Authors | George Tzovaras, Dimitris Zacharoulis, Stavroula Georgopoulou, Konstantinos Pratsas, Georgia Stamatiou, Constantine Hatzitheofilou |
Journal | American journal of surgery
(Am J Surg)
Vol. 196
Issue 2
Pg. 191-4
(Aug 2008)
ISSN: 1879-1883 [Electronic] United States |
PMID | 18420176
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Anesthesia, Spinal
- Feasibility Studies
- Female
- Hernia, Ventral
(surgery)
- Humans
- Laparoscopy
- Length of Stay
(statistics & numerical data)
- Male
- Middle Aged
- Pain Measurement
- Pain, Postoperative
- Patient Satisfaction
(statistics & numerical data)
- Prospective Studies
- Surgical Mesh
- Treatment Outcome
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