XXXX in adults: day case local anaesthetic repair.

@entity1 @entity14147 @entity2737
INTRODUCTION: The waiting times for elective surgery of @entity14147 ( @entity14147 ) in adults are unacceptably long in some cases. During this period, irreducibility and strangulation are possible. We operate on adult @entity1 under local anaesthesia (LA) as day cases to avoid this delay and describe our experience in this paper. AIMS: The aims of our study were to look at the age and sex distribution, body weight, type and amount of local anaesthetic used, morbidity, admission and readmission rates, and waiting times of adult @entity1 operated on for @entity14147 under LA. MATERIALS AND METHODS: It was a retrospective study covering a 4 year period from July 1996 to June 2000 including all adult @entity1 undergoing the above procedure under the care of a single consultant general surgeon. A standard Mayo repair using non absorbable material was used without a mesh or a drain. RESULTS: 32 @entity1 with @entity14147 were operated on under LA, 23 males and 9 females with a median age of 51 years (range 20 to 86 years). The body weight ranged from 63 to 120 (median 87) kg. The average duration of the procedure was 30 (range 22-40) minutes. Sedation was needed in 4 @entity1 . Two @entity1 developed @entity2737 , one superficial and one deep. There was no mortality. The median period of follow-up was 24 (range 4-48) months and there was no recurrence. The median waiting time for the operation was 6 weeks. CONCLUSIONS: Day case local anaesthetic repair of @entity14147 in adults seems to be safe and feasible with an acceptable morbidity. Suture repair in the right @entity1 has excellent results and the waiting times are acceptable.
