[Recurrence of inguinal hernia: ambulatory surgery under local anesthesia].
In order to assess the feasibility of repair of a recurrent inguinal hernia in unmonitored local anaesthesia in an ambulatory set-up pain scores and data on patient satisfaction were obtained from 76 unselected patients after 79 consecutive operations. Median age was 63 years, and 25%- and 75% quartiles were 49 and 72 years respectively. All operations were conducted in local anesthesia. Three patients stayed in hospital overnight after the operation. Pain: After one, six and 28 days 27, 14 og 7% respectively had severe pain during function (cough and/or rising). Satisfaction: 82% were satisfied with ambulatory surgery in local anaesthesia, 82% were satisfied with the analgesic therapy (tenoxicam and methadone), but one third needed supplementary analgesics during the first week (acetaminophen was recommended). It is concluded, that ambulatory repair of a recurrent inguinal hernia in unmonitored local anaesthesia is a safe and cost effective alternative to operation in general or spinal anaesthesia.
Callesen
T
T
Hvidovre Hospital, Kirurgisk gastroenterologisk afdeling.
Bech
K
K
Hesselfeldt
P
P
Andersen
J
J
Nielsen
R
R
Roikjaer
O
O
Kehlet
H
H
D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000191:economics / Q000592:standards; D000772:Anesthesia, Local; D003718:Denmark; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D012086:Reoperation; D011795:Surveys and Questionnaires