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Related Experiment Video

Updated: May 25, 2026

Patch Angioplasty in the Rat Aorta or Inferior Vena Cava
06:04

Patch Angioplasty in the Rat Aorta or Inferior Vena Cava

Published on: February 27, 2017

Transinguinal preperitoneal patch (TIPP) under local anesthesia with sedation.

Edouard P Pélissier1, Philippe Ngo, Brice Gayet

  • 1Department of Digestive Pathology, Institut Montsouris, Paris, France. pelissier.edouard@wanadoo.fr

The American Surgeon
|January 26, 2012
PubMed
Summary
This summary is machine-generated.

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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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Transinguinal preperitoneal placement of the patch (TIPP) is feasible under local anesthesia (LA) with sedation for inguinal hernia repair. This approach was successfully performed in 95% of cases, demonstrating its potential for outpatient procedures.

Area of Science:

  • Surgical innovation
  • Hernia repair techniques
  • Anesthesia methods

Background:

  • Transinguinal preperitoneal placement of the patch (TIPP) merges preperitoneal repair benefits with inguinal approach simplicity.
  • Evaluating TIPP's feasibility under local anesthesia (LA) with sedation is crucial for patient care.

Purpose of the Study:

  • To assess the feasibility of performing TIPP under LA with sedation in unselected patients undergoing inguinal hernia repair.
  • To determine the success rate and conversion rate to general anesthesia for TIPP performed under LA.

Main Methods:

  • A prospective evaluation of 161 patients (169 inguinal hernias) undergoing TIPP.
  • TIPP was the primary method, with LA and sedation used routinely.
  • Conversions to general or spinal anesthesia were noted for specific cases.

Related Experiment Videos

Last Updated: May 25, 2026

Patch Angioplasty in the Rat Aorta or Inferior Vena Cava
06:04

Patch Angioplasty in the Rat Aorta or Inferior Vena Cava

Published on: February 27, 2017

Main Results:

  • TIPP was performed in 139 out of 169 hernias (82.2%).
  • Of the 139 TIPP procedures, 133 were initiated under LA with sedation.
  • Conversion to general anesthesia was needed in only one case, achieving a 95% success rate for TIPP under LA.

Conclusions:

  • TIPP can be effectively performed under local anesthesia with sedation in the majority of patients.
  • The combination of preperitoneal patch repair and LA offers significant advantages for inguinal hernia treatment.
  • Further comparative studies are warranted to confirm the benefits of TIPP under LA.