Peri-operative outcome for day-case laparoscopic and open inguinal hernia repair

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Abstract
This study documents the results obtained in 30 day patients undergoing open hernia repair under local infiltration block with patient‐controlled sedation (group A) and 29 day patients undergoing laparoscopic hernia repair under general anaesthesia (group B). The mean operating time was less in group A (44.8min) compared with group B (66.6min) (p < 0.0001). Similarly, stage 1 recovery room times were longer in group B (98.1 min) than group A (45.1 min) (p < 0.0001). Time to discharge for group A (139.1 min) was significantly shorter than group B (224.2 min) (p < 0.002), with more peri‐operative complications occurring in group B and greater analgesic requirements. An open inguinal hernia repair under local infiltration block is the optimal approach for unilateral non‐recurrent herniae as a day surgical procedure. These results have important cost and efficiency implications.