Anaesthesia for elective inguinal hernia repair in rural Ghana - appeal for local anaesthesia in resource-poor countries

Local anaesthesia has been identified as the most favourable anaesthesia for elective inguinal hernia repair with respect to complication rate, cost-effectiveness, and overall patient satisfaction., Operation theatre notes in all seven hospitals in the Northern Region in Ghana over the period of 1 y...

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Hauptverfasser: Wilhelm, Torsten (VerfasserIn) , Anemana, S. (VerfasserIn) , Kyamanywa, P. (VerfasserIn) , Rennie, J. (VerfasserIn) , Post, Stefan (VerfasserIn) , Freudenberg, S. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: July 1, 2006
In: Tropical doctor
Year: 2006, Jahrgang: 36, Heft: 3, Pages: 147-149
ISSN:1758-1133
DOI:10.1258/004947506777978046
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1258/004947506777978046
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Verfasserangaben:T.J. Wilhelm, S. Anemana, P. Kyamanywa, J. Rennie, S. Post, S. Freudenberg

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520 |a Local anaesthesia has been identified as the most favourable anaesthesia for elective inguinal hernia repair with respect to complication rate, cost-effectiveness, and overall patient satisfaction., Operation theatre notes in all seven hospitals in the Northern Region in Ghana over the period of 1 year were reviewed. Only 22.4% out of 1038 repairs were performed under local anaesthesia while predominantly spinal and general anaesthesia were used (48.0 and 29.6%, respectively). African surgeons chose local anaesthesia far less frequently than visiting overseas surgeons (15.6 versus 27.7%, respectively)., All surgeons in resource-poor countries should be encouraged to use local anaesthesia more frequently for elective inguinal hernia repair. Valuable resources in sub-Saharan African hospitals could be saved, especially if used in combination with outpatient surgery., The technique should be taught in teaching institutions. A simple step-by-step technique is described. 
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