" Columbus' Egg ": Local anesthesia in groin hernia surgery

Groin hernia is a very widespread disease that poses a real public health challenge. Given that hernia surgery remains one of the most commonly performed operative procedures worldwide, improving results appears to be a real challenge. In the captivating history of herniology and alongside the development of surgical techniques, the reduction of anesthetic methods has seen considerable progress. Nowadays, the use of local anesthesia in hernia repair appears to be a popularized reference that is relevant and beneficial both for the patient and for the health system as a whole. However, this concept remains underused in our environment, despite growing awareness and a good level of evidence of its safety, effectiveness and usefulness. Faced with this observation, we believe it is important to review the literature to further unveil the importance of local anesthesia in the field of surgical repair of inguinal hernias in the hope of increasing its uptake in our practice clinical.