Experience of Inguinal Mesh Hernioplasty under Local Anesthesia: A 3-Year Experience in a Teaching Hospital

Zeeshan Hashmi, Rizwan Ahmed, Tehreem Zafar, Masood Ahmed, Nizam Yousaf, Kamran Chaudhary and Mansoor Madanur

Department of Surgical Gastroenterology, Lewisham and Greenwich NHS Trust, UK

^*Correspondance to: Mansoor Madanur 

 PDF  Full Text DOI: 10.25107/2474-1647.3131

Abstract

Background: The cost effective and less pain caused after the operation, local anesthesia has been considered as the appropriate option for repair of open hernia inguinal repairs as it helps in swift healing. However, less attention was given to explain the effectiveness and safety of LA in the context of elective inguinal hernia repair. The current study had aimed to scrutinize the effectiveness and safety in elective inguinal repair of LA. Methods: In order to perform the analysis, by the usage of mesh a retrospective analysis was performed in the hospital which also served the teaching purpose and data used was of the last 3 years. The result measured remained ASA grade of patients, age group, postoperative (late and early) recurrence and complications. Results: During the course of study, the number of hernia repair performed were 260 ASA grade for all patients ranged between I-IV. The mean age was 37 (20 to 65). Intraoperatively 9 patients (3.5%) had problems such as pain, hypotension or sweating. About 224 (86.3%) patients were dispensed home the sidereal day and 36 patients admitted for a night for less than 24 h. Hematoma was seen in 5 patients (1.92%), Urinary retention in 2 patients (0.7%), Wound infection seen in 24 patients (9.2%), Readmission in 10 patients (3.8%). Chronic groin pain was seen in 10 patients (3.9%) and no recurrence in 6 months follow up. Conclusion: The results of the study indicated that this procedure is feasible under L/A and can be performed safely. It showed satisfactory acceptance by the operating surgeon and patient, without significant perioperative issues. It is reliable and shows a shorter hospital stay

Keywords

Cite the article

Hashmi Z, Ahmed R, Zafar T, Ahmed M, Yousaf N, Chaudhary K, et al. Experience of Inguinal Mesh Hernioplasty under Local Anesthesia: A 3-Year Experience in a Teaching Hospital. Clin Surg. 2021; 6: 3131..