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[Surgical repair of inguinal hernia by the Shouldice technique under local anesthesia]
1Serviço de Cirurgia, Hospital das Clínicas, Faculdade de Medicina, Universidade Federal de Minas Gerais.
Insights
Shouldice
Area of Science:
- Surgery
- Hernia Repair
- Local Anesthesia
Context:
- Inguinal hernias are common surgical conditions.
- High-risk patients often present challenges for surgical repair.
- Shouldice's technique is a recognized method for hernia repair.
Purpose:
- To evaluate the efficacy and safety of Shouldice's technique for inguinal hernia repair under local anesthesia.
- To assess outcomes in elderly and high-risk patient populations.
Summary:
- This study assessed 62 patients, primarily elderly and high-risk, undergoing inguinal hernia repair using Shouldice's technique with local anesthesia (0.5% bupivacaine with vasoconstrictor).
- The procedure involved a one-day hospital stay.
- Excellent operative results were observed in 94.9% of cases, with a low complication rate and only one recurrence in three years.
Impact:
- Shouldice's technique under local anesthesia offers a safe and effective option for inguinal hernia repair, particularly in high-risk elderly patients.
- Minimally invasive approach leads to good outcomes and low recurrence rates.
- Short hospital stay contributes to patient recovery and resource efficiency.
Abstract:
The author evaluates the results of the surgical correction of inguinal hernia by Shouldice's technique, under local anesthesia, in a group of 62 patients, most of them elder and of high risk. The patients remained in the hospital one day. Bupivacaine 0.5%, associated with vasoconstrictor was used. The operative results were considered good in 94.9% of cases, regular in 3.4% and bad in 1.7%. No major complications occurred; in three patient small hematomas formed inside the surgical wound, the drainage of which was however not necessary. In a 3-year follow-up only one patient had recurrence of the hernia.