Outcome of inguinal hernia repair under local anesthesia

Conclusion: inguinal hernia repair under local anesthesia is economical,safe,feasible and effective in patients who are either unfit/reluctant for general or local anesthesia. postgraduate training programs should include this technique.aim: in the study the safety,feasibility,complications,reliability and economy of inguinal hernia repair under local anesthesia is evaluated. local aneasthesia was used in patients with inguinal hernia who are either unfit or reluctant for the general or regional anesthesia.methods: this prospective study included patients having reducible direct or indirect inguinal hernia,non affording,reluctant/unfit to undergo general or regional anesthesia and desirous for day care surgery. simple facial infusion of local anesthesia was used with i/v sedation.results: of 98 patients 62% had indirect while 37.5% had direct inguinal hernia. the youngest patient was 17 year old and the oldest was 76 year of age and more than 50 % of the patient had age of 50 years. the main indication of local anesthesia were those patients who were unfit for regional or general anesthesia (62%). the average quantity of local anesthesia we used was 12 ml and duration of surgery were 50 minutes. the main co morbid factor in these patients was diabetes (37%). the main preoperative complication noted in these patients was arrhythmias (2.94%) age group of 60 to 69 years. the main postoperative complications were vomiting (2.9%) and wound infection (2.94%). © 2014 pakistan journal of medical and health sciences. all rights reserved.