TITLE

Comparison of three concentrations of simplex lidocaine in local anesthesia for inguinal hernia mesh-repairs

AUTHOR(S)
Ban, L.-J.; Lei, W.-Z.; Liu, Y.; Gong, Y.-P.; Zeng, Y.; Yang, L.; Zhang, W.
PUB. DATE
October 2011
SOURCE
Hernia;Oct2011, Vol. 15 Issue 5, p517
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Purpose: The aim of the present randomized clinical study was to assess the efficacy of simplex lidocaine in local anesthesia for inguinal hernia mesh-repairs, compare analgesia of three different concentrations of lidocaine, and explore use of lower concentrations of lidocaine in local anesthesia for inguinal hernia mesh-repairs. Methods: A total of 102 consecutive patients undergoing inguinal hernia repairs were randomized to three groups: group A ( n = 34) received solution with a lidocaine concentration of 8 mg/mL, group B ( n = 34) received a lidocaine concentration of 5 mg/mL, and in group C ( n = 34) the lidocaine level was reduced to 3.3 mg/mL. Intraoperative pain and pain at 24 h and 48 h postoperatively were assessed by means of a visual analogue scale. Volume and doses of lidocaine used in local anesthesia were strictly recorded. Results: The efficacy of simplex lidocaine in local anesthesia for inguinal hernia mesh-repairs was excellent, no patient required conversion to general anesthesia. The mean pain scores were not significantly different among the three groups. Conclusions: The local anesthesia technique was good with lidocaine alone in local anesthesia for inguinal hernia mesh-repairs. A concentration of 3.3 mg/mL lidocaine provided similar analgesia as 5 or 8 mg/mL lidocaine.
ACCESSION #
65832853

 

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