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Cirujano general
Print version ISSN 1405-0099
Abstract
GARCIA-BRAVO, Luis Manuel; EVARISTO-MENDEZ, Gerardo; GARCIA-GONZALEZ, Román Indalecio and LOPEZ-RODRIGUEZ, Erika Patricia Guadalupe. Frequency and intensity of pain after inguinal hernioplasty with the Cisneros technique under local anesthesia. Cir. gen [online]. 2019, vol.41, n.2, pp.86-91. Epub Oct 09, 2020. ISSN 1405-0099.
Introduction:
Recurrence of inguinal hernia has decreased with Lichtenstein and Mesh-Plug hernioplasties, although early postoperative pain continues to be a major issue. Our objective is to describe the recurrence and intensity of inguinal postherinoplasty pain with the Cisneros technique under local anesthesia.
Material and methods:
Retrospective study of a series of cases in a period of seven years with consecutive patients operated on inguinal hernia with Cisneros technique under local anesthesia. We analyzed, among other variables, the surgical time, postoperative pain intensity, postoperative complications and recurrence of the hernia.
Results:
We operated on 204 patients with an average age of 53 ± 15 years (18-85). The surgical time was 61 ± 11 minutes for unilateral hernias and 117 ± 7 for bilateral. Average hospital discharge was 2.2 ± 0.3 hours, with mild pain in 74% of cases. There was no recurrence at 50 ± 25 months of follow-up. In addition, between obese and non-obese patients there was no significant difference in relation to the intensity of immediate postoperative pain.
Conclusions:
The Cisneros hernioplasty with local anesthesia is a technique with low recurrence and mild immediate postoperative pain.
Keywords : Inguinal hernia; local anesthesia; hernioplasty.
