Notwithstanding similar hemodynamic responses in all groups, only high-dose remifentanil suppressed both sympathetic responses and the hypothalamus-pituitary-adrenal axis. This result indicates that of these three anesthesia regimens, high-dose remifentanil seems most suited for laparoscopic surgery.
Purpose:We investigated the short-term outcomes and safety of laparoscopic transabdominal preperitoneal(TAPP)inguinalherniarepairperformedasdaysurgery. Methods:Weretrospectivelyinvestigated1,408patientswithinguinalherniaswhounderwentTAPP atourclinicbetweenNovember2015andDecember2019. Results:Themeanoperationtime,anesthesiatime,intervalbetweenthecompletionofsurgeryand dischargefromthehospital,andpainscore(Numericalratingscale)atdischargewere74.6min,103.5min, 66.4min,and1.8,respectively.Weobserved8(0.6%),101(7.2%),and74(5.3%)casesofintraoperative, immediate postoperative, and postoperative complications, respectively. Notably, 1,405 (99.8%) patients returnedhomeonthesamedayoftheoperation.Onepatientwithanaphylacticshockandtwopatients with worsening asthma required hospitalization on the day of surgery. The operation was performed safelywithoutanyseriouscomplicationsassociatedwithit. Conclusions:Daysurgeryisasafe,feasible,andusefuloptionforTAPPinguinalherniarepairafter buildingateamofmedicalcareprofessionalswhospecializeinit.
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