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Local anaesthesia for inguinal herniorrhaphy--a neglected technique
M R Young1, W G Humphries, D J Grainger
1Department of Surgery, Waveney Hospital, Ballymena, Co. Antrim, Northern Ireland.
Irish Journal of Medical Science
|June 1, 1994
Summary
Local anesthetic blockade for inguinal herniorrhaphy is highly effective and safe. Most patients reported satisfaction with the procedure, with low rates of discomfort and wound infection.
Area of Science:
- Surgical procedures
- Anesthesiology
- Public health
Background:
- Inguinal hernia repair is a common surgical procedure.
- Local anesthetic blockade offers a potential alternative to general anesthesia for herniorrhaphy.
- Assessing patient outcomes and satisfaction is crucial for evaluating surgical techniques.
Purpose of the Study:
- To evaluate the efficacy and safety of local anesthetic blockade for inguinal herniorrhaphy.
- To assess patient satisfaction and complication rates associated with this anesthetic technique.
Main Methods:
- A retrospective review of 99 inguinal herniorrhaphies performed under local anesthetic blockade between 1980 and 1988.
- Follow-up interviews were conducted with 82 patients to assess satisfaction and discomfort.
- Data on wound infections were collected and analyzed.
Main Results:
- Ninety-nine inguinal herniorrhaphies were performed using local anesthetic blockade.
- 82 patients (94%) expressed satisfaction with the procedure.
- 7.4% of interviewed patients reported moderate to significant discomfort.
- A 4% wound infection rate was observed among all patients.
Conclusions:
- Local anesthetic blockade is a safe and effective method for inguinal herniorrhaphy.
- The procedure demonstrates high patient satisfaction and a low complication rate.
- This technique represents a significant portion of herniorrhaphy operations performed by the surgical team.