To summarize the clinical experience of simultaneous operation of ipsilateral varicocele and inguinal hernia under local infiltration anesthesia in the Second People's Hospital of Yichang, Hubei Province, and analyze their advantages and disadvantages, so as to provide basis for rational selection of surgical methods.

A total of 167 patients with ipsilateral varicocele and inguinal hernia were selected in our hospital from June 2016 to June 2021. Among them, 85 patients underwent open surgery under local infiltration anesthesia and 82 patients underwent laparoscopic surgery under general anesthesia. The clinical data of the two groups were retrospectively analyzed and a comparative study was conducted.

The pain symptoms of the open surgery group were more severe than those of the laparoscopic surgery group, but the operation time was shorter than that of the laparoscopic surgery group, and the hospitalization cost was significantly reduced. The difference between the two groups was statistically significant (P<0.05). Postoperative hospital stay, incidence of complications: nerve injury, bleeding, serous swelling, epididymitis, testicular pain and other differences between the two groups were not statistically significant (P>0.05). After 12 months of follow-up, there was no recurrence or chronic pain in the two groups.

The operation of ipsilateral varicocele and inguinal hernia at the same time under local anesthesia is safe and feasible, the hospital stay is short, the recovery is quick, and it can significantly reduce the cost of hospitalization, making it suitable for the majority of primary hospitals to carry out.