title: Tension-free mesh hernia repair: review of 1098 cases using local anaesthesia in a day unit.
abstract: The technical problems, early complications and short-term results of a tension-free method of 1098 inguinal hernia repairs in 1017 patients have been assessed. The operation was conducted under local anaesthesia, and the inguinal canal floor was reinforced by a polypropylene mesh. Patients were discharged home the same day. There was no mortality, no urinary complications and one case of venous thrombosis. There was one recurrence after a primary hernia repair and two patients have developed recurrences after repair of a recurrent hernia. The overall sepsis rate was 0.9% and 1% of patients had persistent neuralgia. No prosthesis required removal. In all, 49.6% of office workers returned to work in 1 week or less and 61% of manual workers in 2 weeks or less. The major advantages of the tension-free mesh repair under local anaesthesia are simplicity, substantial cost savings and very low rates of complications.
authors.affiliation: British Hernia Centre, Hendon, London.
authors.forename: A E
authors.initials: AE
authors.lastname: Kark
authors.forename: M
authors.initials: M
authors.lastname: Kurzer
authors.forename: K J
authors.initials: KJ
authors.lastname: Waters
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D000772:Anesthesia, Local; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain; D011183:Postoperative Complications; D012008:Recurrence; D013526:Surgical Mesh