A 30-year-old member asked:
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what anesthesia is used for people with inguinal hernias?

3 doctor answers
Dr. Julian Goldman
35 years experience Anesthesiology
A variety: Depending on the patient, surgeon (and planned repair), anesthesiologist, and practice setting, inguinal hernia repair may be performed under local, regional, or general anesthesia. You should ask your surgeon if the operation will require a specific anesthetic, or if you and your anesthesiologist can decide. For example, a very complex hernia may be too uncomfortable to repair without general.
Answered on Apr 2, 2013
Dr. Richard Pollard
29 years experience Anesthesiology
Sedation or General: It depends on the surgical approach. If the surgeon is using a laparoscopic approach you will want to be asleep under general anesthesia. If the surgeon uses an open technique then sedation or with local anesthesia is usually sufficient.
Answered on Nov 28, 2017
Dr. David Earle
30 years experience General Surgery
Depends: Most patients choose general anesthesia regardless of the approach. In general, it is easier to do an open technik with local anesthesia and sedation, but I have performed many laparoscopic hernia repairs with local anesthesia and mild sedation as well. In these cases, the patients are usually thinner, and have small hernias and are highly motivated to undergo local anesthesia with sedation.
Answered on Apr 2, 2013
2
2 comments
Dr. David Earle
Dr. David Earle commented
30 years experience General Surgery
Provided original answer
That is a common misconception. I have performed this successfully in about 40 patients, And had my own hernias repaired laparoscopically under local anesthesia with sedation. It is clearly an option, but not for all patients.
Apr 2, 2013
Dr. Boris Aronzon
23 years experience Anesthesiology
I would not recommend laparoscopic hernia repair under sedation, as described in the answer above, general anesthesia is the best choice.
Apr 2, 2013

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