Resumen

ARAGON, Felipe Jorge et al. Local anesthesia for inguinal hérnia repair with ilioinguinal-iliohypogastric blockade. rev. colomb. cir. [online]. 2016, vol.31, n.4, pp.262-268. ISSN 2011-7582.

Introduction: Repair of inguinal hernia is one of the most common surgical procedures, and it can be performed under local anesthesia. The ilioinguinal-iliohypogastric blockade is a novel and poorly evaluated technique for inguinal hernia repair. Objectives: To evaluate safety and effectiveness of this technique in our hospital environment. Material and methods: Prospective observational study involving all patients operated under local anesthesia with ilioinguinal-iliohypogastric blockade in the period 2009 to 2014. Demographic variables, type of hernia according to the Nyhus classification, surgical techniques employed, operating time, immediate postoperative complications (<30 days) and postoperative pain assessed by visual analog scale (VAS) at 24 hours, 72 hours, 10 days and 30 days were studied. Results: Indirect inguinal hernia occurred in 409 patients (88.3%). Direct hernias represented 11.6 %, and 63.9 % of cases were treated with mesh. 8.2% of our patients had complications in the first 30 postoperative days unrelated to the anesthetic technique. EVA mean values were low for the first 24 hours and 30 days. The level of acceptance of the anesthetic method was 95.5 % Conclusions: Inguinal hernia repair under local anesthesia with ilioinguinal-iliohypogastric blockade is feasible, safe and effective for this type of operation, which makes it ideal for use in surgical centers at any level of care and in places with limited resources.

Palabras clave : hernia; inguinal; herniorrhaphy; anesthesia; local; ambulatory surgical procedures.

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