Open anterior preperitonal inguinal hernia repair under local anesthesia:report of 176 cases.

Objective To assess the result and technical key points of open anterior preperitonal inguinal hernia repair under local anesthesia.Methods Retrospetively analyses of the clinical data of 176 cases who suffered inguinal hernia repair by open preperitonal anterior approach from January 2007 to August 2009.Preoperative complication,operation time,operative methods,postoperative pain,hospital time and the results of follow-up were analyzed.Results The mean operation time were 50 min(rang 30 to 110).The mean time of leaving a sickbed were 6 hours(rang 4 to 24).The mean resuming regular activities time were 4 days(rang 2 to 6).The mean time of postoperative hospital stay were 4 days(rang 2 to 8).No patient was found urinary retention,subcutaneous hematoma and infection of incisional wound in postoperative.All incisional pain were mild without pain relief treatment.Hydrocele was found in 3 patients.All patients were recovered.During the follow-up(3 to 18 months),recurrence was not found,and there was one case of local chronic pain.Conclusions The method of open anterior preperitonal inguinal hernia repair under local anesthesia is simple,effective,safe,minimally invasive,and it is easy to recover with few of complications and low recurrece rate.And it is especially suitable for old patients with various chronic diseases.It is an ideal treatment for patients with inguinal hernia.