2003, Number 1
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ABSTRACTObjective: To assess the simultaneous treatment to repair bilateral inguinal hernias under local anesthesia using a tension-free technique.
Design: Retrospective study without control group.
Setting: Second level health care general hospital.
Patients and methods: We studied retrospectively the data obtained from 36 patients subjected simultaneously to surgery of bilateral hernia defect in the groin region, from January 1998 to January 2001, in a General Hospital, using a tension-free technique. We analyzed: surgical risk according to the ASA classification, type of hernia (according to the Nyhus classification) surgical time, post-operative follow-up, and complications. All patients received local anesthesia with 1% lidocaine and 0.25% bupivacaine. Central tendency measures were used for the analysis.
Results: The average age of the patients was 47.8 years (range of 22 to 76), predominating 3B hernias, mean surgical time was of 78 minutes, and follow-up time was 2.1 years. Twenty percent of the patients presented some form of complication, representing 10% of the performed herniorrhaphies; the most frequent complication was hematoma of the surgical wound. No recurrences have occurred yet.
Conclusion: The simultaneous repair of hernia defects using local anesthesia and a tension free technique was successful in this group of patients.
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