What is the benefit of associating a blockade ilioinguinal and local anesthetic infiltration in elderly patients undergoing hernia repair surgery: a double-blind randomized study

Introduction Among the different anesthetic techniques used to attend hernioplasty current evidence supports the use of local anesthesia by infiltration because it determines a shorter post-operative recovery, fewer complications and lower overall costs 1,. However, despite these advantages the local anesthesia by infiltration is rarely used 2. In order to improve intraoperative analgesia ilioinguinal block combined with an infiltration of local anesthetic can represent the rational, but there are no data from randomized trials to support this approach in elderly patients. The aim of our study conducted in doubleblind, randomized, and is to verify if the additional ilioinguinal blockade could improve the intra-operative analgesia in the intervention of inguinal hernia repair performed under local anesthesia by infiltration.