For patients with a bmi over 28 or a more complicated hernia general anesthesia is often required for hernia repair. In our practice less than 10 of patients require general anesthesia.
There are three broad types of inguinal hernia repairs.
Open inguinal hernia repair anesthesia. For open hernia repair surgery a single long incision is made in the groin. Your surgeon will put you under general anesthesia to keep you asleep during the surgery and so you. Herniotomy removal of the hernial sac only.
Inguinal hernia repair is a common worldwide surgical procedure usually done in the outpatient setting. If the hernia is going down the inguinal canal indirect the hernia sac is either pushed back or tied off and removed. If the idea of general anesthesia makes you nervous it shouldn t.
Open surgery or surgery with a laparoscope can usually repair an inguinal hernia. The hospital will send you instructions about when you need to stop eating and drinking before the operation. This is preferred in young individuals who have normal muscles and repair of the wall of the inguinal canal is not required.
General anesthesia is extraordinarily safe with today s precise administration and monitoring. An inguinal hernia repair may be done as an open surgery or as a laparoscopic or keyhole surgery. Video showing how to perform local anesthesia in an open inguinal hernia repair.
In open hernia repair also called herniorrhaphy a person is given local anesthesia in the abdomen or spine to numb the area general anesthesia to sedate or help the person sleep or a combination of the two. While open hernia repair may be done under general regional spinal or even local anesthesia with sedation laparoscopic hernia repair is always done under general anesthesia. Then the surgeon makes an incision in the groin moves the hernia back into the abdomen and reinforces the muscle wall with stitches.
In general anesthesia inhalation agents are used for sedation. The operation usually takes about 30 to 45 minutes to complete and you ll usually be able to go home on the same day. General anesthesia for hernia surgery.
The purpose of this systematic review is to make an evidence based meta analysis to determine the possible benefits of regional neuraxial block anesthesia compared to general anesthesia in open inguinal hernia repair in adults. Here we compared open and laparoscopic total extraperitoneal tep repairs under general ga and spinal anesthesia sa. An inguinal hernia repair can be carried out as either open surgery or laparoscopic or keyhole surgery.
If the hernia is bulging out of the abdominal wall a direct hernia the bulge is pushed back into place. Mesh placement is the main standard in repair of inguinal hernia and laparoscopic repair is the standard of care via spinal epidural or combined anesthesia.