A tailored approach for the treatment of indirect inguinal hernia in adults—an old problem revisited

Schäfer, Markus; Raiss, H; Demartines, Nicolas; Vuilleumier, Henri

doi:10.1007/s00423-010-0635-0

Cited by 10 publications

(5 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We must talk more about Tailored Surgery, the so called personalized surgery, individualized, and built on the needs and characteristics of the patient [19]. The concept of Tailored Surgery encompasses not only technical-surgical and prosthetic choices but also anesthetic (local, assisted local, spinal or loco regional, general).…”

Section: Discussionmentioning

confidence: 99%

The Treatment of Inguinal Hernia in the Elderly: Always Local?

Yener¹

2016

OAJS

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

The Treatment of Inguinal Hernia in the Elderly: Always Local?

Yener¹

2016

OAJS

View full text Add to dashboard Cite

“…Local anaesthesia again maybe stepwise infiltration anaesthesia with moderate to deep level of sedation or analgesics.But deep sedation sometimes may produce problems in very elderly patients with cardiorespiratory or other comorbid diseases. International literatures, current evidences as well as general recommendations of the "European hernia society" suggests the use of ilioinguinal nerve blocks with stepwise local infiltration anaesthesia [7,11,21]. But the nerve supply of the inguinal region is from last two thoracic and first two lumbar via ilioinguinal, iliohypogastric and genital branch of genitofemoral nerves.…”

Section: Discussionmentioning

confidence: 99%

“…The concept of 'tailored surgery' for hernia repair has been well stressed in the recent guidelines of the ''European hernia society'' published in ''hernia'' in 2009, which recommends to take advantages of local anaesthesia for hernia repair. This is a grade A recommendation with high scientific impact [11]. Today the surgical and anaesthesiology groups of the world have welcomed these recommendations.…”

Section: Introductionmentioning

confidence: 99%

Comparative Evaluation between Local and Spinal Anaesthesia for Inguinal Mesh Hernioplasty in Elderly Patients with Limited Cardiac Reserve

Paudel

Chapagain

et al. 2016

J Nobel Med Coll

View full text Add to dashboard Cite

Background The choice of anaesthesia technique, based on its advantages and disadvantages in elderly patients with limited cardiac reserve will be influenced by the patient’scomorbid diseases. The aim of the study was to compare the effects of spinal anaesthesia and local anaesthesia in elderly patients with limited cardiac reserve for inguinal mesh hernioplasty.Material and Methods In the present study 60 male patients between the ages of 65 to 92 with limited cardiac reserve, reported for mesh hernioplasty were equally divided in two groups. One group received spinal anaesthesia (SA) and the other group received local anaesthesia with nerve block (LA). Effectiveness and complications of both the group were evaluated.Results All patients had comorbid cardiac diseases with limited cardiac reserve along with hernia. Perioperative and postoperative complications were significantly more in SA group. All the surgeons and patients were satisfied with the operating conditions.Conclusion Nerve block anaesthesia with skin infiltration for inguinal mesh hernioplasty in elderly patients with limited cardiac reserve is recommended, as it is safe, patient friendly with less postoperative complications.Journal of Nobel Medical CollegeVolume 5, Number 1, Issue 8, January-July 2016, 49-56

show abstract

“…According to recent guidelines of the European Hernia Society, published on "Hernia" in 2009, treatment of a hernia in primary election can always take advantage of local anesthesia. This is a grade A recommendation, with high scientific impact [3,4]. The simultaneous use of local anesthetic drugs with a long duration of action, but very powerful such as Levobupivacaine (Chirocaine), in addition to drugs equally potent, but duration of immediate action, such as Mepivacaine (Carbocaine), allow optimization of intra-and post-operatively anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Local anesthesia for treatment of hernia in elder patients: Levobupicavaine or Bupivacaine?

et al. 2013

View full text Add to dashboard Cite

BackgroundInguinal hernia is one of the most common diseases in the elderly. Treatment of this pathology is exclusively surgical and relies almost always on the use of local anesthesia. While in the past hernia surgery was carried out mainly by general anesthesia, in recent years there has been growing emphasis on the role of local anesthesia.MethodsThe aim of our study was to compare intra-and postoperative analgesia obtained by the use of levobupivacaine to the same obtained by bupivacaine. Bupivacaine is one of the main local anesthetics used in the intervention of inguinal hernioplasty. Levobupivacaine is an enantiomer of racemic bupivacaine with less cardiotoxicity and neurotoxicity. The study was conducted from March 2011 to March 2013. We collected data of eighty patients, male and female, aged between 65 and 86 years, who underwent inguinal hernioplasty with local anesthesia.ResultsEvaluation of intra-operatively pain shows that minimal pain is the same in both groups. Mild pain was more frequent in the group who used levobupivacaine. Moderate pain was slightly more frequent in the group who used bupivacaine. Only one reported intense pain. Two drugs seem to have the same effect at a distance of six, twelve, eighteen and twentyfour hours. Bupivacaine shows a significantly higher number of complications, as already demonstrated by previous studies. Degree of satisfaction expressed by patients has been the same in the two groups. Levobupivacaine group has shown a greater request for paracetamol while patients who experienced bupivacaine have showed a higher request of other analgesics.ConclusionsClinical efficacy of levobupivacaine and racemic bupivacaine are actually similar, when used under local intervention of inguinal hernioplasty. In the field of ambulatorial surgery our working group prefers levobupivacaine for its fewer side effects and for its easy handling.

show abstract

A tailored approach for the treatment of indirect inguinal hernia in adults—an old problem revisited

Abstract: PPV occurs in 14% of adults undergoing hernia repair. In selected patients, annulorrhaphy takes less time and is associated with equally low recurrence but less potential for neuropathic symptoms.

Cited by 10 publications

References 28 publications

The Treatment of Inguinal Hernia in the Elderly: Always Local?

The Treatment of Inguinal Hernia in the Elderly: Always Local?

Comparative Evaluation between Local and Spinal Anaesthesia for Inguinal Mesh Hernioplasty in Elderly Patients with Limited Cardiac Reserve

Local anesthesia for treatment of hernia in elder patients: Levobupicavaine or Bupivacaine?

Contact Info

Product

Resources

About