Outpatient simultaneous repair of ventral and groin hernias in local anesthesia: case report.
Umbilical and epigastric hernias are occasionally seen in patients with groin hernias, however, there is almost no published evidence about their simultaneous repair. In a 3-year period, 10 patients were subjected to simultaneous repair of groin hernias (7 unilateral, 2 bilateral inguinal and 1 femoral) and ventral hernias (7 primary, 2 recurrent umbilical and 1 epigastric) with local infiltration anesthesia and intravenous sedation. The mean total bupivacaine dose was 18 (10-30) mL and mean total lidocaine dose 21 (14-30) mL. The mean time to resuming normal daily activity was 5.5 days, whereas the time to car driving was 3-7 days. The oral analgesic (naproxen sodium) requirement was 6-10 tablets for 3-5 days. Patient acceptance was excellent. Simultaneous repair of groin and ventral hernias with local anesthesia in outpatient setting is feasible and associated with a low complication rate and maximum patient comfort.
Ankara Hernia Center, Cukurambar mahallesi, Cankaya, Ankara, Turkey. ipekozyaylali@mynet.com
Ipek
I
Ozyaylali
Dilek
D
Yazicioglu
Hakan
H
Kulacoglu
D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D000772:Anesthesia, Local; D000779:Anesthetics, Local; D002045:Bupivacaine; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D008012:Lidocaine; D008297:Male; D008875:Middle Aged
D000779:Anesthetics, Local; D008012:Lidocaine; D002045:Bupivacaine