[Pain control with XXXX following inguinal herniorrhaphy or orchidopexy in childhood].

@entity1 @entity1443 @entity282 @entity158
OBJECTIVE: The application of opiates after day case surgery in childhood is discussed controversially because of possible complications. Therefore many anaesthetists try to avoid these substances and prefer peripheral analgesics for @entity282 control. METHODS: By distributing a questionnaire concerning the arguments connected with @entity282 to 267 parents (a total of 78.3% of the questionnaires was returned) of @entity1 that had undergone inguinal herniorrhaphy or orchidopexy we hoped to gain insight into the judgement of peripheral analgesics-in this case @entity1443 -following inguinal herniorrhaphy or orchidopexy. During standardized anaesthesia the @entity1 received @entity1443 suppositories (15-20 mg/kg BW). After release from the hospital on the same day this drug was administered by the parents in case of necessity. RESULTS: Need for analgesics was significantly higher in the group of orchidopexy than in the group of herniorrhaphy (p < .01) and even memory of @entity158 three days after the operation seemed to be higher in this group. The sleep patterns were more influenced by orchidopexy. Surprisingly 75% of the @entity1 following herniorrhaphy received no analgesics at all after release from the hospital (6 hours postoperatively). CONCLUSION: Following herniorrhaphy the @entity282 therapy with @entity1443 seems to be sufficient. For the @entity282 treatment after orchidopexy additional measures like local nerve blocks, regional anesthesia or wound infiltrations with local anaesthetics should be considered.
