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Immediate ambulation following inguinal and femoral hernia repair under spinal anesthesia and a return to normal activity within 24 hours after surgery is a procedure advocated by Irving L. Lichtenstein, MD, Los Angeles surgeon.
Lichtenstein reported at the AMA Annual Convention on results with this technique in 90 herniorrhaphies. Patients ranged in age from 16 years to 78 years; all but six were men. Direct and indirect inguinal hernia were found in 80% of the patients.
All 90 patients have been followed for periods of from six months to four years. There have been only two recurrences. "One resulted from failure to recognize a femoral component," Lichtenstein said. "The other was due to reluctance to utilize a reinforcing screen when grossly inadequate fascia was presented."
In describing the technique, Lichtenstein explained that "The patient sits up and walks out of the operating room, after putting on slippers and robe. This
Prompt Ambulation, Return to Activity After Herniorrhaphy May Offer Benefits. JAMA. 1964;189(5):29. doi:10.1001/jama.1964.03070050067044
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