Local anaesthesia as a risk factor for recurrence after groin hernia repair

Hernia ◽  
2008 ◽  
Vol 12 (5) ◽  
pp. 507-509 ◽  
Author(s):  
H. Kehlet ◽  
M. Bay-Nielsen
Keyword(s):  
Risk Factor ◽  
Hernia Repair ◽  
Local Anaesthesia ◽  
Groin Hernia ◽  
Groin Hernia Repair ◽  
Risk Factor For Recurrence

Female gender is a risk factor for pain, discomfort, and fatigue after laparoscopic groin hernia repair

Hernia ◽  
2012 ◽  
Vol 17 (3) ◽  
pp. 321-327 ◽  
Author(s):  
M. A. Tolver ◽  
P. Strandfelt ◽  
J. Rosenberg ◽  
T. Bisgaard
Keyword(s):  
Risk Factor ◽  
Hernia Repair ◽  
Groin Hernia ◽  
Female Gender ◽  
Groin Hernia Repair ◽  
Laparoscopic Groin Hernia Repair

scholarly journals Current options in local anesthesia for groin hernia repairs

2011 ◽  
Vol 58 (3) ◽  
pp. 25-35 ◽  
Author(s):  
Hakan Kulacoglu ◽  
Alp Alptekin
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Local Anesthesia ◽  
Regional Anesthesia ◽  
Local Anaesthesia ◽  
Groin Hernia ◽  
Local Anaesthetics ◽  
Health Care Economics ◽  
Groin Hernia Repair ◽  
Solid Foods

Inguinal hernia repair is one of the most common procedures in general surgery. All anesthetic methods can be used in inguinal hernia repairs. Local anesthesia for groin hernia repair had been introduced at the very beginning of the last century, and gained popularity following the success reports from the Shouldice Hospital, and the Lichtenstein Hernia Institute. Today, local anesthesia is routinely used in specialized hernia clinics, whereas its use is still not a common practice in general hospitals, in spite of its proven advantages and recommendations by current hernia repair guidelines. In this review, the technical options for local anaesthesia in groin hernia repairs, commonly used local anaesthetics and their doses, potential complications related to the technique are evaluated. A comparison of local, general and regional anesthesia methods is also presented. Local anaesthesia technique has a short learning curve requiring simple training. It is easy to learn and apply, and its use is in open anterior repairs a nice way for health care economics. Local anesthesia has been shown to have certain advantages over general and regional anesthesia in inguinal hernia repairs. It is more economic and requires a shorter time in the operating room and shorter stay in the institution. It causes less postoperative pain, requires less analgesic consumption; avoids nausea, vomiting, and urinary retention. Patients can mobilize and take oral liquids and solid foods much earlier. Most importantly, local anesthesia is the most suitable type of anesthesia in elder, fragile patients and patients with ASA II-IV scores.

Obesity as a Lifetime Risk Factor for Mesh Infection After Groin Hernia Repair

2014 ◽  
Vol 259 (6) ◽  
pp. e89 ◽  
Author(s):  
Grigoris Chatzimavroudis ◽  
Basilis Papaziogas ◽  
Stefanos Atmatzidis ◽  
Konstantinos Atmatzidis
Keyword(s):  
Risk Factor ◽  
Hernia Repair ◽  
Groin Hernia ◽  
Lifetime Risk ◽  
Mesh Infection ◽  
Groin Hernia Repair

Laparoscopic repair of inguinal hernia: Prospective evaluation at a tertiary care center

2020 ◽  
Vol 23 (2) ◽  
pp. 54-58
Author(s):  
ABM Mahbubur Rahman ◽  
Tamjeed Alam ◽  
AHM Shamsul Alam ◽  
Fahim Ferdaus ◽  
Gazi Gias Uddin
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Groin Hernia ◽  
Tertiary Care ◽  
Groin Hernia Repair ◽  
Groin Hernias ◽  
Laparoscopic Groin Hernia Repair ◽  
Repair Techniques

Background: Treatment of groin hernias continues to evolve. The emergence of laparoscopic inguinal hernia surgery has challenged the conventional gold standard Lichtenstein’s tension free mesh repair. Laparoscopic technique to achieve surgical correction over groin hernia is increasingly being practiced in our country, and it is imperative to test the overall outcome of this technique in a tertiary care setting. Objectives: Current study was aimed at evaluating the per-operative events, early and late outcomes of laparoscopic groin hernia repair techniques. End points of evaluation were postoperative pain, hospital stay, resumption of normal activities, chronic pain and recurrence. Methods: Within a 2-year period, 45 patients of groin hernias of different clinical types underwent laparoscopic inguinal hernia repair in Bangladesh Medical College Hospital were recruited in this prospective observational study. Preoperative findings, intraoperative course, postoperative and follow-up data were analyzed to evaluate the outcomes. Observations were made regarding operating time, operative hazards, postoperative pain, incidence of early post-operative morbidities, hospital stay, resumption of activities. Total 24 months follow-up was carried out with regards to normal activity, late complications notably chronic groin pain and recurrence. Results: The mean age of 38.1±11.1 years, 27(60%) patients underwent TEP repair whereas, TAPP procedure was carried out in 18 patients (40%). For unilateral hernia repair using TEP technique, mean operative time was 50.3±4.2 mints and 61.7±5.3 mints for direct and indirect variety (D/I), with the corresponding rates for TAPP repair being 65.0±2.2 mints and 72.8±3.2 mints (D/I) respectively. Conversion rate to other operative procedure was 6.67%. The overall surgery related early post-operative morbidity was 7.4% (TEP) and 16.8% (TAPP). 3 out of 45 patients (6.67%) experienced chronic pain in the groin in the study. However, there was no single incidence of recurrence observed during the follow up period. Conclusion: Laparoscopic groin hernia repair techniques are safe and feasible, offers the benefits of minimally invasive surgery and becoming the procedure of choice specially for bilateral and recurrent inguinal hernias. Journal of Surgical Sciences (2019) Vol. 23(2): 54-58

Laparoscopic Groin Hernia Repair: Is The Learning Curve Really Long?

2011 ◽  
Vol 1 (12) ◽  
pp. 171-173
Author(s):  
Dr. P A Yavalkar Dr. P A Yavalkar ◽  
◽  
Dr. S E Jadhav Dr. S E Jadhav
Keyword(s):  
Hernia Repair ◽  
Learning Curve ◽  
Groin Hernia ◽  
Groin Hernia Repair ◽  
Laparoscopic Groin Hernia Repair
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