demonstrate the feasibility of inguinal hernia repair with local anesthesia in
an out-patient regime, with safety, efficacy and short learning curve.
Methods: We prospectively evaluated 1186 patients undergoing inguinal hernia
repair under local anesthesia on an outpatient basis between November 2004 and
March 2014. Of the total number of hernias surgically treated in this period,
755 were operated on the right, 394 on the left and 37 bilateral. We used
clinical, surgical and psychosocial criteria for inclusion in the procedure.
The parameters for exclusion were complex, irreducible or recurrent hernia,
obesity (BMI greater than 30 kg/m2), patient’s refusal and
psychiatric disorder. All patients underwent elective surgery and were analyzed
regarding surgical outcome, complications and hospital stay. Results: All
operations were completed successfully. In no case there was a need to change
the anesthetic method. Surgical time was similar to that conducted with other
methods of anesthesia and there were no cases of adverse effects of local
anesthetics. Intra-operative complications amounted to approximately 2.64%.
There was no need for hospital admissions greater than 24 hours. Conclusion:
The procedure is feasible and causes no perioperative significant pain, is
safe, can be performed by residents under supervision, has satisfactory patient
acceptance and complications similar to those observed in a conventional
herniorrhaphy, allowing lower time and cost of hospitalization and faster
access to treatment.
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