Clinical efficacy of open preperitoneal recurrent inguinal hernia repair under local anesthesia

Objective To summarize the clinical effect of open preperitoneal recurrent inguinal hernia repair under local anesthesia. Methods The medical records of 36 adult recurrent direct inguinal hernia patients from Fourth People's Hospital of Shaanxi Province between June 2016 to January 2018 were retrospectively reviewed. Operation time, hospital stay, postoperative pain, recurrence after surgery were observed. Results The average operation time of this group of patients: 26 minutes (19 to 36 minutes) for unilateral hernia, 46 minutes (39 to 65 minutes) for bilateral hernia. Oral diet was usually able to be taken just after surgery, local abdominal pressure was given 12 to 24 hours, and the patients could return to daily activity on the day of surgery. Mild pain during hospitalization generally do not have to treat. The average hospital stay was 2.8 days. Within one week after surgery, there were 2 cases of fat liquefaction, 1 case of seroma, no incision infection, no mesh infection, and no recurrence. Conclusion Our results suggest that simple preperitoneal tension-free repair of recurrent hernia is safe and reliable, which is suitable for clinical promotion. Key words: Recurrent hernia; Groin; Local anesthesia; Tension-free repair