Tollerability of incisional hernia repair in local anesthesia for old patients in a day surgery setting

Background Nowadays the gold standard of the incisional hernia surgical treatment seems to be the prosthetic repair. In the last 15 years many Authors published about the advantages of the laparoscopic treatment in front of the Open one, even if this issue till today remains controversial [1]. Anyway our group from 18 years is engaged on a clinical application of a third way of incisional hernias repair with an open prosthetic technique under local anesthesia which feasability was already demonstrated [2]. Other published experiences already exists [2]. At the beginninig of our experience we started with small incisional hernias [3]; over the time we submitted to procedure even incisional hernias with orifice’s diameter till 10 cm. Intraoperative sufferance of patients is questioned. The aim of this work is to show the patient’s tolerance to this open preperitoneal mesh technique of incisional hernia repair in local anesthesia in the elderly.