Annals of Surgical Treatment and Research  2014;87(6):325-330

doi:10.4174/astr.2014.87.6.325

Tumescent local anesthetic technique for inguinal hernia repairs.

Ju Won CHYUNG 1 ; Dong Gue SHIN ; Yujin KWON ; Dong Hui CHO ; Kyung Bok LEE ; Sang Soo PARK ; Jin YOON ; Yong Seog JANG

Affiliations

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Keywords

Inguinal hernia; Tumescent local anesthesia; Safety

Country

Republic 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.