title: Inguinal hernia repair with local anesthesia in the outpatient.
abstract: OBJECTIVE
  To demonstrate the feasibility of inguinal hernia repair with local anesthesia in an outpatient regime, with safety, efficacy and short learning curve.
  
  
  METHODS
  We prospectively evaluated 454 patients undergoing inguinal hernia repair under local anesthesia on an outpatient basis between November 2004 and August 2008. Of the total number of hernias surgically treated in this period, 285 were operated on the right, 163 on the left and six bilateral. We used clinical, surgical and psychosocial criteria for inclusion in the procedure. The parameters for exclusion were complex, irreducible or recurrent hernia, obesity (BMI greater than 30 kg/m²), patient's refusal and psychiatric disorder. All patients underwent elective surgery and were analyzed regarding surgical outcome, complications and hospital stay.
  
  
  RESULTS
  All operations were completed successfully. In no case there was need to change the anesthetic method. Surgical time was similar to that conducted with other methods of anesthesia and there were no cases of adverse effects of local anesthetics. Intra-operative complications amounted to approximately 2.64% (12/454). There was no need for hospital admissions greater than 24 hours.
  
  
  CONCLUSIONS
  The procedure is feasible and causes no perioperative significant pain, is safe, can be performed by residents under supervision, has satisfactory patient acceptance and complications similar to those observed in a conventional herniorrhaphy, allowing lower time and cost of hospitalization and faster access to treatment.
authors.affiliation: The First Surgical Clinic, Hospital Geral de Bonsucesso, Rio de Janeiro, RJ, Brazil. flavioasribeiro@bol.com.br
authors.forename: Flavio Antonio
authors.initials: FA
authors.lastname: de Sá Ribeiro
authors.forename: Fernanda
authors.initials: F
authors.lastname: Padron
authors.forename: Tiago Duarte Magalhães
authors.initials: TD
authors.lastname: Castro
authors.forename: Lucio Carlos de Azevedo
authors.initials: LC
authors.lastname: Torres Filho
authors.forename: Baltazar de Araujo
authors.initials: Bde A
authors.lastname: Fernandes
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000379:methods; D000772:Anesthesia, Local; D005240:Feasibility Studies; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D011446:Prospective Studies