Home > Journals > Minerva Anestesiologica > Past Issues > Minerva Anestesiologica 2000 April;66(4) > Minerva Anestesiologica 2000 April;66(4):201-6

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

ORIGINAL ARTICLES  ANESTHESIOLOGY Freefree

Minerva Anestesiologica 2000 April;66(4):201-6

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

Local anesthesia for inguinal hernia surgery

Tani F., Coratti A., De Martino A., Criscuolo S., Pede O., Testi W., Belcastro M., Ranalli M., Lucenti Fei A., Caloni C., Coratti G., Mancini S.

Università degli Studi - Siena Istituto di Chirurgia Generale e Specialità Chirurgiche, *Istituto di Anestesia e Rianimazione


PDF


Local anesthesia for inguinal hernia surgery.
Background. It is a current opinion that local anesthesia (LA) is the primary choice in surgical treatment of the inguinal region, particularly herniorrhaphy. The LA technique personally used for herniorrhaphy is described: it consists of iliohypogastric, ilioinguinal and genito-femoral nerve blocks, and incision line anesthetic infiltration.
Methods. From January 1998 to April 1999, 95 patients underwent inguinal herniorrhaphy employing LA: 77 (81%) in elective surgery, 18 (19%) in emergency; 2 cases with bilateral hernia (97 total LA procedures).
Results. Partial success was obtained in only 8 cases (8.4%), which required an association with a hypnotic drug (“blended anesthesia”: propofol or midazolam): there were no cases of conversion to general anesthesia. Specific complications of local anesthetic drugs infiltration developped in 8 cases on 97 LA procedures (8.2%), but none required reoperation: 6 inguinal hematomas, 1 female external genitalia hematoma, 1 hematocele.
Conclusions. In conclusion, it is stressed that LA is the technique of choice in herniorrhaphy and surgery of other inguinal pathologies, associating high success rates, rare complications and rapid dismissal: this allows for easy management of the patients and a very important reduction of sanitary costs. The association of LA-hypnotic drugs (blended anesthesia) represents another important resource, since it avoids general anesthesia in many cases and allows a rapid psychophysical recovery.

top of page