BACKGROUND AND OBJECTIVES: Postherniorrhaphy urinary retention (UR) may depend on the anesthetic technique. We therefore reviewed available published studies of UR in relation to anesthetic technique. METHODS: A Medline-based search (1966-November 2001) revealed 70 nonrandomized and 2 randomized studies. RESULTS: The incidence of UR was lower with local anesthesia (LA) (33 in 8991 patients, 0.37%, 95% confidence interval [CI] 0.24%-0.49%) compared with regional anesthesia (RA) (150 in 6191 patients, 2.42%, 95% CI 2.04%-2.81%) and general anesthesia (GA) (344 in 11471 patients, 3.00%, 95% CI 2.69%-3.31%). CONCLUSION: The low incidence of UR with LA is in accordance with the inhibitory effects of RA and GA on bladder function. Data from newer short-acting techniques of GA and RA are required to define the optimal anesthetic for inguinal herniorrhaphy.
BACKGROUND AND OBJECTIVES: Postherniorrhaphy urinary retention (UR) may depend on the anesthetic technique. We therefore reviewed available published studies of UR in relation to anesthetic technique. METHODS: A Medline-based search (1966-November 2001) revealed 70 nonrandomized and 2 randomized studies. RESULTS: The incidence of UR was lower with local anesthesia (LA) (33 in 8991 patients, 0.37%, 95% confidence interval [CI] 0.24%-0.49%) compared with regional anesthesia (RA) (150 in 6191 patients, 2.42%, 95% CI 2.04%-2.81%) and general anesthesia (GA) (344 in 11471 patients, 3.00%, 95% CI 2.69%-3.31%). CONCLUSION: The low incidence of UR with LA is in accordance with the inhibitory effects of RA and GA on bladder function. Data from newer short-acting techniques of GA and RA are required to define the optimal anesthetic for inguinal herniorrhaphy.
Authors: G Tzovaras; D Symeonidis; G Koukoulis; I Baloyiannis; S Georgopoulou; C Pratsas; D Zacharoulis Journal: Hernia Date: 2012-06-24 Impact factor: 4.739
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Authors: I Antonescu; G Baldini; D Watson; P Kaneva; G M Fried; K Khwaja; M C Vassiliou; F Carli; L S Feldman Journal: Surg Endosc Date: 2013-08-17 Impact factor: 4.584
Authors: M P Simons; T Aufenacker; M Bay-Nielsen; J L Bouillot; G Campanelli; J Conze; D de Lange; R Fortelny; T Heikkinen; A Kingsnorth; J Kukleta; S Morales-Conde; P Nordin; V Schumpelick; S Smedberg; M Smietanski; G Weber; M Miserez Journal: Hernia Date: 2009-07-28 Impact factor: 4.739