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Chirurgia 2002 February;15(1):9-12

language: Italian

Effectiveness and safety of local anesthesia in inguinal hernia repair. 14 years' experience

D'Alia C., Tonante A., Taranto F., Lo Schiavo M. G., Gagliano E., Bonanno L., Pagano D., Sturniolo G.


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Background. The aim of this study is to analyse the effectiveness of local anesthesia for inguinal hernia's surgery.
Methods. The study is carried out on 1075 patients who underwent surgery for inguinal hernia repair for a total of 1208 operations, from 1987 to 2000 at the 6th Division of General Surgery of the University of Messina. The local anesthetic used was bupivacaine 0.50% up to 1998 and ropivacaine 0.75% in the last two years.
Results. In 83% of patients the operation was carried out exclusively in local anesthesia, in 2.8% of patients a sedative during surgery was associated and only in one case the local anesthesia was converted to general anesthesia. The incidence of intraoperative complications (nausea, vomiting, hypotension, bradycardia, etc.) was of 4.4% whereas the incidence on postoperative complications (hematoma, fever, ecchymosis, genitals' edema, inguinal pain, etc.) was of 15%. Postoperative analgesia was given in 54% of cases. The patient's discharge was after 24 hours.
Conclusions. The results of our study confirm the effectiveness, safety, easy application and the patient's compliance of inguinal hernia repair under local anesthesia.

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