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One-thousand consecutive inguinal hernia repairs under unmonitored local anesthesia
1Department of Surgical Gastroenterology, H:S Hvidovre University Hospital, Hvidovre, Denmark. callesen@rh.dk
Anesthesia and Analgesia
|December 1, 2001
Summary
Unmonitored local anesthesia (ULA) is a safe option for open inguinal hernia repair, even for patients with comorbidities. While most patients are satisfied and discharged same-day, improving intraoperative pain management is key.
Area of Science:
- Surgery
- Anesthesiology
- Hernia Repair
Background:
- Open inguinal hernia repair is a common surgical procedure.
- Anesthesia choice impacts patient outcomes and recovery.
- Unmonitored local anesthesia (ULA) offers a potential alternative for elective procedures.
Purpose of the Study:
- To assess the feasibility and safety of ULA for elective open inguinal hernia repair.
- To evaluate patient outcomes, complications, and satisfaction rates associated with ULA.
Main Methods:
- Prospective data collection from 1000 patients undergoing open inguinal hernia repair.
- Inclusion of patients across various ASA physical status groups.
- Follow-up via questionnaire and electronic patient data retrieval.
Main Results:
- ULA was converted to general anesthesia in 0.5% of cases.
- 96.1% of patients were discharged on the day of surgery.
- 7.8% of patients reported dissatisfaction due to intraoperative pain.
Conclusions:
- Open inguinal hernia repair under ULA is feasible and safe across different patient comorbidities.
- ULA demonstrates a low rate of deviation from day-case surgery and minimal morbidity.
- While patient satisfaction is acceptable, intraoperative pain relief requires further optimization.