Abstract: [Abstract] Objective Discussed before peritoneal clearance hernia repair under local anesthesia in senile application value in the treatment of inguinal hernia straight. Methods Retrospective analysis of 48 cases of senile inguinal hernia straight before peritoneal clearance hernia repair under local anesthesia clinical data and follow-up results. Results After operation were successful, 2 ~ 5 d discharged from hospital. Complications: 1 case of seroma, puncture pumping by ultrasonic positioning to heal. June 一5 years follow-up, the average (38. 25 and 28. 52) months. No case of recurrence. Conclusions Hernia repair under local anesthesia before peritoneal clearance treatment of inguinal hernia straight in the safe, reliable, economic, and the recurrence rate is low .

Key words: [ key word] local anesthesia, Preperitoneal space, Herniorrhaphy, Senile, direct inguinal hernia