Abstract

ALIAGA CHAVEZ, Noél  and  CALDERON FLORES, Wessmark. Experiencia en hernioplastía inguinal con anestesia local. Rev Med Hered [online]. 2003, vol.14, n.4, pp.158-162. ISSN 1018-130X.

Objective: To evaluate the utility of ambulatory surgery with local anesthesia in patients with inguinal hernia. Material and methods: A descriptive serial cases type study was performed between April 1996 and March 1999, at the Clinica Fiori surgery division. We intervened 1,167 patients with abdominal wall pathology, 432 of them were intervened for inguinal herniary pathology, 372 of them with local anesthesia who were included in the study. The surgical techniques used were Bassini and McVay, with an average operative time of 30 minutes, and 3 days post surgery control. Results: 72.9 % of herniary patology was observed among 31-70 years old patients. Only 2.6 % (10 patients) presented post-operative complications, 6 patients with relapse of Inguinal hernia, 2 with infection of operatorie wound, 1 with seroma and 1 with hematoma, none resulted being of graveness, and 97.4 % (362) didn´t present any type of complications. There were not anesthetic accidents. Conclusion: The surgical treatment of inguinal hernia with local anesthesia is effective, safe and economical. To evaluate the utility of ambulatory surgery with local anesthesia in patients with inguinal hernia. Material and methods: A descriptive serial cases type study was performed between April 1996 and March 1999, at the Clinica Fiori surgery division. We intervened 1,167 patients with abdominal wall pathology, 432 of them were intervened for inguinal herniary pathology, 372 of them with local anesthesia who were included in the study. The surgical techniques used were Bassini and McVay, with an average operative time of 30 minutes, and 3 days post surgery control. Results: 72.9 % of herniary patology was observed among 31-70 years old patients. Only 2.6 % (10 patients) presented post-operative complications, 6 patients with relapse of Inguinal hernia, 2 with infection of operatorie wound, 1 with seroma and 1 with hematoma, none resulted being of graveness, and 97.4 % (362) didn´t present any type of complications. There were not anesthetic accidents. Conclusion: The surgical treatment of inguinal hernia with local anesthesia is effective, safe and economical. (Rev Med Hered 2003; 14: 158-162). KEY WORDS: .

Keywords : Inguinal hernia; local anesthesia; ambulatory surgery.