Comparison between local anesthesia and epidural anesthesia stratege for tension-free hernioplasty in middle or old aged patients with ingunal hernia / 重庆医科大学学报

Objective:To compare with curative effect,hospital stay,average cost,recovery time and postoperative complication between local anesthesia and epidural anesthesia stratege for tension-free hernioplasty in middle or old-aged patients.Methods:164 cases were randomly divided into local anesthesia and epidural anesthesia groups.Results:Mean operating time,the time of hospital stay and the rate of postoperative complication in local anesthesia groups were less than that in epidural anesthesia groups.Conclusion:Tension-free hernioplasty under local anesthesia,a more safe,effective and cheap operating method in middle or old aged patients with inguinal hernia,should be widespread.

Clinical analysis of 68 cases of PPH treatment for ring-like hemorrhoid / 重庆医科大学学报

Objective:To investigate the clinical application of PPH plus external hemorrhoidectomy in the treatment of hem- orrhoids. Methods:Sixty-eight cases of Ⅲ-Ⅳdegree Ring-like mixed hemorrhoids treated by PPH from January 2004 to Jan- uary 2007 were respectively reviewed. Results:A post operation follow-up found no anus incontinence, stenosis of stoma and recurrence. Conclusion:PPH plus external hemorrhoidectomy can widen the indications for PPH and improve patients’satis- faction.