Abstract
BackgroundLocal anesthesia (LA) has been reported to be the best choice for elective open inguinal hernia repair because it is cost efficient, with less post-operative pain and enables more rapid recovery. However, the role of LA in emergency inguinal hernia repair is still controversial. The aim of this study is to investigate the safety and effectiveness of LA in emergency inguinal hernia repair.MethodsAll patients underwent emergency inguinal hernia repair in our hospital between January 2010 and April 2014 were analyzed retrospectively in this study. Patients were divided into LA and general anesthesia (GA) group according to the general conditions of the patients decided by anesthetists and surgeons. The outcome parameters measured included time to recovery, early and late postoperative complications, total expense and recurrence.ResultsThis study included a total of 90 patients from 2010 to 2015. 32 patients (35.6 %) were performed under LA, and 58 (64.4 %) were performed under GA. LA group has less cardiac complications (P = 0.044) and respiratory complications (P = 0.027), shorter ICU stay (P = 0.035) and hospital stay (P = 0.001), lower cost (P = 0.000) and faster recovery time (P = 0.000) than GA group.ConclusionLA could provide effective anesthesia and patient safety in emergency inguinal hernia repair.
Highlights
Local anesthesia (LA) has been reported to be the best choice for elective open inguinal hernia repair because it is cost efficient, with less post-operative pain and enables more rapid recovery
LA is recommended for inguinal hernia repair in elderly patients and patients with co-morbidities by the Association of Surgeons of Great Britain and Ireland (ASGBI) [8]
The aim of this study is to investigate the safety and effectiveness of LA in an emergency inguinal hernia surgery by evaluating related outcomes
Summary
Local anesthesia (LA) has been reported to be the best choice for elective open inguinal hernia repair because it is cost efficient, with less post-operative pain and enables more rapid recovery. With progresses in surgical techniques and anesthetic methods, elective inguinal hernia repair surgery has become a safe outpatient procedure that carries favorable outcomes [1]. When it comes to emergency hernia repair surgery, things are different. Local anesthesia (LA) is one of the most commonly used anesthetic methods in inguinal hernia repair [5,6,7]. European Hernia Society Guideline (EHS) recommended that patients with ASA (American Surgical Association) preoperative evaluation of grade 3 or 4 can consider day surgery with LA. Young anxious patients, with morbid obesity, incarcerated hernia should be excluded from operation under LA [9]
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