RT Journal Article SR Electronic T1 Inguinal hernia repair with tension-free hernioplasty under local anesthesia JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 534 OP 536 VO 30 IS 4 A1 Gao, Jia-Sen A1 Wang, Zhen-Jun A1 Zhao, Bo A1 Ma, Song-Zhang A1 Pang, Guo-Yi A1 Na, Dong-Ming A1 Zhang, Yu-Dong YR 2009 UL http://smj.org.sa/content/30/4/534.abstract AB OBJECTIVE: To evaluate the use of local anesthesia in tension-free hernioplasty in a local hospital.METHODS: The study took place at Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China during the period from January 2007 to May 2008. All 110 patients who had undergone inguinal hernia repair with mesh under local anesthesia were included in the study. To increase the homogeneity of the sample, we excluded umbilical hernia repairs, parastomal hernia repairs, non-elective procedures, procedures not involving mesh, and repairs performed concurrently with another surgical procedure. We performed a retrospective review of all 110 patients' data.RESULTS: The average operating time was 45 minutes (30-70 minutes), and the average hospital stay was 3-4 days. There was no postoperative mortality in this study. No surgical site infection occurred. Two patients (18%) that suffered from a moderate scrotal hematoma had recovered after extract injection therapy was applied. The duration of incisional pain was 2-3 days, and no patient required post-operative analgesia. During the follow-up, no recurrence occurred.CONCLUSION: The use of local anesthesia in inguinal hernia repair with tension-free hernioplasty is a safe and effective alternative for inpatient treatment.