Tumescent local anesthetic technique for inguinal hernia repairs.
10.4174/astr.2014.87.6.325
- Author:
Ju Won CHYUNG
1
;
Dong Gue SHIN
;
Yujin KWON
;
Dong Hui CHO
;
Kyung Bok LEE
;
Sang Soo PARK
;
Jin YOON
;
Yong Seog JANG
Author Information
1. Department of Surgery, Seoul Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Inguinal hernia;
Tumescent local anesthesia;
Safety
- MeSH:
Anesthesia, Local;
Bupivacaine;
Follow-Up Studies;
Hernia, Inguinal*;
Herniorrhaphy;
Humans;
Length of Stay;
Lidocaine;
Medical Records;
Postoperative Complications;
Recurrence;
Retrospective Studies
- From:Annals of Surgical Treatment and Research
2014;87(6):325-330
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: We evaluated the adequacy and feasibility of a tumescent solution containing lidocaine and bupivacaine for inguinal hernia repairs. METHODS: The medical records of 146 consecutive inguinal hernia patients with 157 hernia repairs using the tumescent local anesthesia technique performed by a single surgeon between September 2009 and December 2013 were retrospectively reviewed. RESULTS: The mean operation time (+/-standard deviation) and hospital stay were 64.5 +/- 17.6 minutes and 2.7 +/- 1.5 days. The postoperative complication rate was 17.8%. There were four cases of recurrences (2.5%) at a mean follow-up of 24 +/- 14 months. CONCLUSION: Our results suggest that local anesthesia with the tumescent technique is an effective and safe modality for inguinal hernia repairs.