Postoperative nausea and vomiting (PONV) in outpatient repair of inguinal hernia

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Published: Jan 1, 2018
Keywords:
Day Surgery, Fentanyl, Inguinal, Hernia repair, Nausea, Vomiting

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Piergaspare Palumbo
Department of Surgical Sciences, “Sapienza” University of Rome, Rome, Italy
Sofia Usai
Department of Emergency, Anesthesia and Critical Care, “Sapienza” University of Rome, Rome, Italy
Chiara Amatucci
Department of Surgical Sciences, “Sapienza” University of Rome, Rome, Italy
Valentina Taurisano Pulli
Department of Emergency, Anesthesia and Critical Care, “Sapienza” University of Rome, Rome, Italy
Giulio Illuminati
Department of Surgical Sciences, “Sapienza” University of Rome, Rome, Italy
Francesco Vietri
Department of Surgical Sciences, “Sapienza” University of Rome, Rome, Italy
Guglielmo Tellan
Department of Emergency, Anesthesia and Critical Care, “Sapienza” University of Rome, Rome, Italy

Abstract





PURPOSE: Nausea and vomiting are among the most frequent complications following anesthesia and surgery. Due to anesthesia seems to be primarily responsible for post operative nausea and vomiting (PONV) in Day Surgery facilities, the aim of the study is to evaluate how different methods of anesthesia could modify the onset of postoperative nausea and vomiting in a population of patients undergoing inguinal hernia repair.


METHODS: Ninehundredten patients, aged between 18 and 87 years, underwent open inguinal hernia repair. The PONV risk has been assessed according to Apfel Score. Local anesthetic infiltration, performed by the surgeon in any cases, has been supported by and analgo-sedation with Remifentanil in 740 patients; Fentanyl was used in 96 cases and the last 74 underwent deep sedation with Propofol .


RESULTS: Among the 910 patients who underwent inguinal hernia repair, PONV occurred in 68 patients (7.5%). Among patients presenting PONV, 29 received Remifentanil, whereas 39 received Fentanyl. In the group of patients receiving Propofol, no one presented PONV. This difference is statistically significant (p < .01). Moreover, only 50 patients of the total sample received antiemetic prophylaxis, and amongst these, PONV occurred in 3 subjects.


CONCLUSIONS: Compared to Remifentanil, Fentanyl has a major influence in causing PONV. Nonetheless, an appropri- ate antiemetic prophylaxis can significantly reduce this undesirable complication.





Article Details

How to Cite
Piergaspare Palumbo, et al. “Postoperative Nausea and Vomiting (PONV) in Outpatient Repair of Inguinal Hernia”. Annali Italiani Di Chirurgia, vol. 89, no. 1, Jan. 2018, pp. 75-80, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1039.
Issue
Vol. 89 No. 1 (2018)
Section
Article