Open mesh plug hernioplasty in ambulatory surgery: a study of feasibility based on our experience in 413 procedures

This study assessed the feasibility, safety, and reliability of open mesh plug hernioplasty under local anesthesia on an ambulatory basis. We retrospectively evaluated results using the open mesh plug technique in a series of 398 patients with 413 inguinal hernias (378 primary, 35 recurrent). Local anesthesia with sedation was used in 91% of procedures, locoregional anesthesia in 8%, and general anesthesia in 1%. Median operative time was 45 min. Only 1% of patients operated on in ambulatory surgery required hospitalization. There were only mild complications, all of which were managed on an outpatient basis. Median time of return to work was 8 days. Recurrence rate was 0.83% at a minimal follow-up of 12 months. Open mesh plug hernioplasty is a reliable technique feasible in an outpatient basis.