title: Tumescent local anesthetic technique for inguinal hernia repairs.
abstract: OBJECTIVE
  We evaluated the adequacy and feasibility of a tumescent solution containing lidocaine and bupivacaine for inguinal hernia repairs.
  
  
  METHODS
  The medical records of 146 consecutive inguinal hernia patients with 157 hernia repairs using the tumescent local anesthesia technique performed by a single surgeon between September 2009 and December 2013 were retrospectively reviewed.
  
  
  RESULTS
  The mean operation time (±standard deviation) and hospital stay were 64.5 ± 17.6 minutes and 2.7 ± 1.5 days. The postoperative complication rate was 17.8%. There were four cases of recurrences (2.5%) at a mean follow-up of 24 ± 14 months.
  
  
  CONCLUSIONS
  Our results suggest that local anesthesia with the tumescent technique is an effective and safe modality for inguinal hernia repairs.
authors.affiliation: Department of Surgery, Seoul Medical Center, Seoul, Korea.
authors.forename: Ju Won
authors.initials: JW
authors.lastname: Chyung
authors.affiliation: Department of Surgery, Seoul Red Cross Hospital, Seoul, Korea.
authors.forename: Dong Gue
authors.initials: DG
authors.lastname: Shin
authors.affiliation: Department of Surgery, Seoul Medical Center, Seoul, Korea.
authors.forename: Yujin
authors.initials: Y
authors.lastname: Kwon
authors.affiliation: Department of Surgery, Seoul Medical Center, Seoul, Korea.
authors.forename: Dong Hui
authors.initials: DH
authors.lastname: Cho
authors.affiliation: Department of Surgery, Seoul Medical Center, Seoul, Korea.
authors.forename: Kyung Bok
authors.initials: KB
authors.lastname: Lee
authors.affiliation: Department of Surgery, Seoul Medical Center, Seoul, Korea.
authors.forename: Sang Soo
authors.initials: SS
authors.lastname: Park
authors.affiliation: Department of Surgery, Seoul Medical Center, Seoul, Korea.
authors.forename: Jin
authors.initials: J
authors.lastname: Yoon
authors.affiliation: Department of Surgery, Seoul Medical Center, Seoul, Korea.
authors.forename: Yong Seog
authors.initials: YS
authors.lastname: Jang
keywords: Inguinal hernia; Safety; Tumescent local anesthesia