Ropivacain zur Leistenhernienoperation in Lokalanästhesie
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Zusammenfassung
Hintergrund
Um die Patientenzufriedenheit nach Shouldice-Reparation primärer Leistenhernien in Lokalanästhesie zu optimieren, haben wir die postoperative analgetische Potenz des neuen Lokalanästhetikums Ropivacain analysiert.
Material und Methoden
Bei 100 konsekutiven Patienten wurde die Lokalanästhesie randomisiert und verblindet mit der gleichen Menge Ropivacain 0,75% oder Mepivacain 1% durchgeführt. Alle Patienten unterzogen sich einer postoperativen Schmerzanalyse.
Ergebnisse
Am Operationstag waren im Ropivacain-Kollektiv sowohl die subjektive Schmerzintensität in Ruhe und unter Belastung (visuelle Analogskala) als auch die Beeinträchtigung durch den Schmerz (Schmerzempfindungsskala) signifikant niedriger. Gleiches galt für die Beeinträchtigung von Vitalkapazität und Peak flow. Der postoperative Schmerzmittelverbrauch und die Mobilisation wurden durch die Verwendung von Ropivacain ebenfalls positiv beeinflusst.
Schlussfolgerung
Durch Verwendung von Ropivacain kann das postoperative Schmerzniveau nach Hernienreparation weiter gesenkt werden. Dies führt zu einer Steigerung des Patientenkomforts ohne Erhöhung des perioperativen Risikos.
Schlüsselwörter
Leistenhernie Lokalanästhesie Ropivacain SchmerzanalyseRopivacain after inguinal hernia surgery
Abstract
Background
To optimise the satisfaction of patients after repair of primary inguinal hernias under local anaesthesia, we analysed the analgetic power of Ropivacain in the postoperative period.
Material and methods
One hundred consecutive patients underwent repair under local anaesthesia with the same volume of 0.75% Ropivacain or 1% Mepivacain in a randomised and blinded manner. Postoperative pain analysis was carried out in all patients.
Results
Subjective pain levels at rest and under stress as well as impairment by pain were found to be significantly lower in the Ropivacain group at the day of operation. Decrease in vital capacity and peak flow showed similar results. The postoperative amount of analgesics and time of mobilisation showed a positive influence by the use of Ropivacain.
Conclusion
Ropivacain reduces postoperative pain levels after hernia repair. This leads to increased comfort for patients, without elevated perioperative risk.
Keywords
Inguinal hernia Local anaesthesia Ropivacain Pain analysisNotes
Interessenkonflikt:
Der korrespondierende Autor weist auf eine Verbindung mit folgender Firma/Firmen hin: AstraZeneca
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