Bilateral inguinal hernia repair under local anaesthesia: A prospective study.

Introduction groin hernia repair is a common surgical procedure performed. Open hernia surgery is well accepted standard approach to inguinal hernia. Unilateral groin hernia repair is commonly performed under local anesthesia [1]. Simultaneous bilateral open groin hernia under local anesthesia is not well documented Many patients with bilateral groin hernia are unfit for general anesthesia. Hence simultaneous open groin hernia surgery under local anesthesia is a preferred and safe procedure [1, 2]. We report our experience with concomitant bilateral inguinal hernia surgery under the local anesthesia method. We reviewed prospective data of patients with bilateral inguinal hernias for whom both sides of hernia surgery were performed between 2021-2022. Data collected were analyzed for patient demographics, visual analog pains score, surgery time volume of local anesthetic-solution, patient compliance, and complication. Bilateral Lichtenstein's mesh hernioplasty was performed in all inguinal patients' hernia using a local anesthetic solution. The mixture comprised 0.5% bupivacaine 30 ml + adrenaline and 2% lignocaine with an adrenaline 20 ml + 0.9% normal saline 50 ml & 6 ml of 8.6% Sodium bicarbonate. Result: The study included 24 patients 92% of patients were male and only two male-patients' ages ranged between 35-81 years and BMI of 18-30 (mean 24). The average surgery time was 65 min (35-120min) median operating time was 60 min. The mean pain of 24 on the VAS o-100 scale. Patient satisfaction score (0-100scale) ranging from 50-100 (median 90). Conclusion: The study showed that simultaneous bilateral open mesh hernioplasty under local anesthesia can be performed safely with good patient satisfaction. Bilat open inguinal hernia repair is a good option in patients who otherwise are not fit for general anesthesia & Simultaneous bilateral inguinal hernia surgery can be performed safely. [ABSTRACT FROM AUTHOR]