XXXX repair with local anesthesia in the outpatient.

@entity1 @entity28 @entity146 @entity158 @entity547 @entity169
OBJECTIVE: To demonstrate the feasibility of @entity169 repair with local anesthesia in an outpatient regime, with safety, efficacy and short learning curve. METHODS: We prospectively evaluated 454 @entity1 undergoing @entity169 repair under local anesthesia on an outpatient basis between November 2004 and August 2008. Of the total number of @entity547 surgically treated in this period, 285 were operated on the right, 163 on the left and six bilateral. We used clinical, surgical and psychosocial criteria for inclusion in the procedure. The parameters for exclusion were complex, irreducible or recurrent @entity547 , @entity28 (BMI greater than 30 kg/m  ), @entity1 's refusal and @entity146 . All @entity1 underwent elective surgery and were analyzed regarding surgical outcome, complications and hospital stay. RESULTS: All operations were completed successfully. In no case there was need to change the anesthetic method. Surgical time was similar to that conducted with other methods of anesthesia and there were no cases of adverse effects of local anesthetics. Intra-operative complications amounted to approximately 2.64% (12/454). There was no need for hospital admissions greater than 24 hours. CONCLUSION: The procedure is feasible and causes no perioperative significant @entity158 , is safe, can be performed by residents under supervision, has satisfactory @entity1 acceptance and complications similar to those observed in a conventional herniorrhaphy, allowing lower time and cost of hospitalization and faster access to treatment.
