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Tumescent local anesthetic technique for inguinal hernia repairs
Ju Won Chyung1, Dong Gue Shin2, Yujin Kwon1
1Department of Surgery, Seoul Medical Center, Seoul, Korea.
Purpose:
We evaluated the adequacy and feasibility of a tumescent solution containing lidocaine and bupivacaine for inguinal hernia repairs.
Methods:
The medical records of 146 consecutive inguinal hernia patients with 157 hernia repairs using the tumescent local anesthesia technique performed by a single surgeon between September 2009 and December 2013 were retrospectively reviewed.
Results:
The mean operation time (±standard deviation) and hospital stay were 64.5 ± 17.6 minutes and 2.7 ± 1.5 days. The postoperative complication rate was 17.8%. There were four cases of recurrences (2.5%) at a mean follow-up of 24 ± 14 months.
Conclusion:
Our results suggest that local anesthesia with the tumescent technique is an effective and safe modality for inguinal hernia repairs.
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