Affiliation:
1. Department of Surgery, Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, Turkey
2. Department of Anaesthesiology, Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, Turkey
Abstract
Inguinal hernia repair is one of the most common procedures in general
surgery. All anesthetic methods can be used in inguinal hernia repairs. Local
anesthesia for groin hernia repair had been introduced at the very beginning
of the last century, and gained popularity following the success reports from
the Shouldice Hospital, and the Lichtenstein Hernia Institute. Today, local
anesthesia is routinely used in specialized hernia clinics, whereas its use
is still not a common practice in general hospitals, in spite of its proven
advantages and recommendations by current hernia repair guidelines. In this
review, the technical options for local anaesthesia in groin hernia repairs,
commonly used local anaesthetics and their doses, potential complications
related to the technique are evaluated. A comparison of local, general and
regional anesthesia methods is also presented. Local anaesthesia technique
has a short learning curve requiring simple training. It is easy to learn and
apply, and its use is in open anterior repairs a nice way for health care
economics. Local anesthesia has been shown to have certain advantages over
general and regional anesthesia in inguinal hernia repairs. It is more
economic and requires a shorter time in the operating room and shorter stay
in the institution. It causes less postoperative pain, requires less
analgesic consumption; avoids nausea, vomiting, and urinary retention.
Patients can mobilize and take oral liquids and solid foods much earlier.
Most importantly, local anesthesia is the most suitable type of anesthesia in
elder, fragile patients and patients with ASA II-IV scores.
Publisher
National Library of Serbia
Cited by
16 articles.
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