Acta clinica Croatica, Vol. 51 No. 1, 2012.
Other
Outpatient Simultaneous Repair of Ventral and Groin Hernias in Local Anesthesia: Case Report
Ipek Ozyaylali
Dilek Yazicioglu
Hakan Kulacoglu
Abstract
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.
Keywords
Hernia, umbilical; Hernia, epigastric; Hernia, inguinal; Local anesthesia, lidocaine; Local anesthesia, bupivacaine
Hrčak ID:
85745
URI
Publication date:
30.3.2012.
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