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Anesthesia

  • Pär Nordin
Chapter

Abstract

Not all surgical procedures are granted to have three choices of anesthesia as the open groin hernia operation. The optimal anesthetic method has to meet several demands. It has to be simple and as safe as possible with low postoperative morbidity. It must be able to offer the patient a painless operation, guarantee a fast recovery without postoperative side effects, and has to be cost-effective. Finally, it is essential to remember that for an operation to be successful, the patient should be pleased with it.

References

  1. 1.
    Aasvang E, Kehlet H. Surgical management of chronic pain after inguinal hernia repair. Br J Surg. 2005;92:795–801.CrossRefGoogle Scholar
  2. 2.
    Kingsnorth A, LeBlanc K. Hernias: inguinal, incisional. Lancet. 2003;362:1561–71.CrossRefPubMedGoogle Scholar
  3. 3.
    Amid PK, Shulman AG, Lichtenstein IL. Open tension-free repair of inguinal hernias: the Lichtenstein technique. Eur J Surg. 1996;162:447–53.Google Scholar
  4. 4.
    Kark AE, Kurzer MN, Belsham PA. Three thousand one hundred seventy-five primary inguinal hernia repairs: advantage of ambulatory open mesh repair in local anaesthesia. J Am Coll Surg. 1998;186:447–55.CrossRefGoogle Scholar
  5. 5.
    Bendavid R. Symposium on the management of inguinal hernias. 4. The Shouldice technique: a canon in hernia repair. Can J Surg. 1997;40:199–207.PubMedCentralPubMedGoogle Scholar
  6. 6.
    Callesen T, Bech K, Kehlet H. One thousand consecutive inguinal hernia repairs under unmonitored local anaesthesia. Anesth Analg. 2001;93:1373–6.CrossRefGoogle Scholar
  7. 7.
    Kingsnorth AN, Bowley DMG, Porter C. A prospective study of 1000 hernias: results of the Plymouth hernia service. Ann R Coll Surg Engl. 2003;85:18–22.CrossRefPubMedGoogle Scholar
  8. 8.
    Chan CK, Chan G. The Shouldice technique for the treatment of inguinal hernia. J Minim Access Surg. 2006;2(3):124–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M. European hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13(4):343–403.CrossRefPubMedGoogle Scholar
  10. 10.
    Hair A, Duffy K, Mclean J, et al. Groin hernia repair in Scotland. Br J Surg. 2000;87:1722–6.CrossRefPubMedGoogle Scholar
  11. 11.
    Bay-Nielsen M, Kehlet H, Strand L, et al. Quality assessment of 26,304 herniorrhaphies in Denmark; a nationwide questionnaire study. Lancet. 2001;358:1124–8.CrossRefPubMedGoogle Scholar
  12. 12.
    Rosenberg J, Bisgaard T, Kehlet H, Wara P, Asmussen T, Juul P, Strand L, Andersen FH, Bay-Nielsen M. Danish hernia database recommendations for the management of inguinal and femoral hernia in adults. Dan Med Bull. 2011;58(2):C4243.Google Scholar
  13. 13.
    Nilsson E, Haapaniemi S. Assessing the quality of hernia repair. In: Fitzgibbons Jr R, Greenburg AG, editors. Nyhus and condon: hernia. Philadelphia: Lippincott Williams & Wilkins; 2000.Google Scholar
  14. 14.
    Wheatley RG, Samaan AK. Postoperative pain relief. Br J Surg. 1995;82:292–5.CrossRefGoogle Scholar
  15. 15.
    Joshi GP, Rawal N, Kehlet H, et al. Evidence-based management of postoperative pain in adults undergoing open inguinal hernia surgery. Br J Surg. 2012;99(2):168–85.CrossRefGoogle Scholar
  16. 16.
    Andersen FH, Nielsen K, Kehlet H. Combined ilioinguinal blockade and local infiltration anaesthesia for groin hernia repair - a double-blind randomized study. Br J Anaesth. 2005;94:520–3.CrossRefGoogle Scholar
  17. 17.
    Toivonen J, Permi J, Rosenberg PH. Effect of preincisional ilioinguinal and iliohypogastric nerve block on postoperative analgesic requirement in day-surgery patients undergoing herniorrhaphy under spinal anaesthesia. Acta Anaesthesiol Scand. 2001;45:603–7.CrossRefGoogle Scholar
  18. 18.
    Thavaneswaran P, Rudkin GE, Cooter RD, Moyes DG, Perera CL, Maddern GJ. Brief reports: paravertebral block for anesthesia: a systematic review. Anesth Analg. 2010;110(6):1740–4.CrossRefGoogle Scholar
  19. 19.
    Charlton S, Cyna AM, Middleton P. Perioperative transversus abdominis plane (TAP) blocks for analgesia after abdominal surgery. Cochrane Database Syst Rev. 2009;12:CD007705.Google Scholar
  20. 20.
    Kehlet H. Balanced analgesia: a prerequisite for optimal recovery. Br J Surg. 1998;85:3–4.CrossRefGoogle Scholar
  21. 21.
    Callesen T, Kehlet H. Post-herniorrhaphy pain. Anesthesiology. 1997;87:1219–30.CrossRefGoogle Scholar
  22. 22.
    Song D, Greilich NB, White PF, Watcha MF, Tongier WK. Recovery profiles and costs of anesthesia for outpatient unilateral inguinal herniorrhaphy. Anesth Analg. 2000;91:876–81.CrossRefGoogle Scholar
  23. 23.
    Klein SM, Pietrobon R, Nielsen KC, et al. Paravertebral somatic nerve block compared with peripheral nerve blocks for outpatient inguinal herniorrhaphy. Reg Anesth Pain Med. 2002;27:476–80.CrossRefGoogle Scholar
  24. 24.
    Finley RK Jr, Miller SF, Jones LM. Elimination of urinary retention following inguinal herniorrhaphy. Am Surg. 1991;57:486–8.Google Scholar
  25. 25.
    Jensen P, Mikkelsen T, Kehlet H. Postherniorrhaphy urinary retention—effect of local, regional, and general anesthesia: a review. Reg Anesth Pain Med. 2002;27:612–7.Google Scholar
  26. 26.
    Nordin P, Zetterstrom H, Gunnarsson U, Nilsson E. Local, regional, or general anaesthesia in groin hernia repair: multicentre randomised trial. Lancet. 2003;362:853–8.CrossRefGoogle Scholar
  27. 27.
    Ryan JA Jr, Adye BA, Jolly PC, Mulroy MF. Outpatient inguinal herniorrhaphy with both regional and local anesthesia. Am J Surg. 1984;148:313–6.CrossRefGoogle Scholar
  28. 28.
    Sultana A, Jagdish S, Pai D, Rajendiran KM. Inguinal herniorrhaphy under local anaesthesia and spinal anaesthesia—a comparative study. J Indian Med Assoc. 1999;97:169–70. 175.Google Scholar
  29. 29.
    Bakota B, Kopljar M, Baranovic S, Miletic M, Marinovic M, Vidovic D. Should we abandon regional anesthesia in open inguinal hernia repair in adults? Eur J Med Res. 2015;20(1):76.CrossRefPubMedGoogle Scholar
  30. 30.
    Bay-Nielsen M, Kehlet H. Anaesthesia and post-operative morbidity after elective groin hernia repair: a nation-wide study. Acta Anaesthesiol Scand. 2008;52(2):169–74.CrossRefGoogle Scholar
  31. 31.
    Salinas FV, Liu SS. Spinal anaesthetics and adjuncts in the ambulatory setting. Best Pract Res Clin Anaesthesiol. 2001;16:195–210.CrossRefGoogle Scholar
  32. 32.
    Halpern S, Preston R. Postdural puncture headache and spinal needle design. Metaanalyses. Anesthesiology. 1994;81:1376–83.CrossRefGoogle Scholar
  33. 33.
    Kehlet H, Dahl JB. Spinal anaesthesia for inguinal hernia repair? Acta Anaesthesiol Scand. 2003;47:1–2.CrossRefPubMedGoogle Scholar
  34. 34.
    Gupta A, Axelsson K, Thörn SE, Matthiessen P, Larsson LG, Holmström B, et al. Low-dose bupivacaine plus fentanyl for spinal anesthesia during ambulatory inguinal herniorrhaphy: a comparison between 6 mg and 7.5 mg of bupivacaine. Acta Anaesthesiol Scand. 2003;47:13–9.CrossRefPubMedGoogle Scholar
  35. 35.
    Robbins AW, Rutkow IM. Mesh plug repair and groin hernia surgery. Surg Clin North Am. 1998;78:1007–23.CrossRefPubMedGoogle Scholar
  36. 36.
    Weltz CR, Klein SM, Arbo JE, et al. Paravertebral block anesthesia for inguinal hernia repair. World J Surg. 2003;27:425–9.CrossRefPubMedGoogle Scholar
  37. 37.
    Bhattacharya P, Mandal MC, Mukhopadhyay S, Das S, Pal PP, Basu SR. Unilateral paravertebral block: an alternative to conventional spinal anaesthesia for inguinal hernia repair. Acta Anaesthesiol Scand. 2010;54(2):246–51.CrossRefPubMedGoogle Scholar
  38. 38.
    Akcaboy EY, Akcaboy ZN, Gogus N. Ambulatory inguinal herniorrhaphy: paravertebral block versus spinal anesthesia. Minerva Anestesiol. 2009;75(12):684–91.PubMedGoogle Scholar
  39. 39.
    Kehlet H, Bay NM. Anaesthetic practice for groin hernia repair—a nation-wide study in Denmark 1998–2003. Acta Anaesthesiol Scand. 2005;49:143–6.CrossRefPubMedGoogle Scholar
  40. 40.
    Amid PK, Shulman AG, Lichtenstein IL. Local anesthesia for inguinal hernia repair step-by-step procedure. Ann Surg. 1994;220:735–7.CrossRefPubMedGoogle Scholar
  41. 41.
    Heidemann Andersen F, Nielsen K, Kehlet H. Combined ilioinguinal blockade and infiltration anaesthesia for inguinal hemiorrhaphy. Br J Anaesth. 2005;94:520–3.CrossRefGoogle Scholar
  42. 42.
    Ponka JL. Hernias of the abdominal wall. Philadelphia: WB Saunders; 1980.Google Scholar
  43. 43.
    Teasdale C, McCrum A, Williams NB, et al. A randomised controlled trial to compare local with general anaesthesia for short-stay inguinal hernia repair. Ann R Coll Surg Engl. 1982;64:238–42.PubMedCentralPubMedGoogle Scholar
  44. 44.
    Edelman DS, Misiakos EP, Moses K. Extraperitoneal laparoscopic hernia repair with local anaesthesia. Surg Endosc. 2001;15:976–80.CrossRefGoogle Scholar
  45. 45.
    Nordin P, Haapaniemi S, van Der Linden W, et al. Choice of anesthesia and risk of reoperation for recurrence in groin hernia repair. Ann Surg. 2004;240:187–92.CrossRefPubMedGoogle Scholar
  46. 46.
    Kehlet H, Bay-Nielsen M. Local anaesthesia as a risk factor for recurrence after groin hernia repair. Hernia. 2008;12(5):507–9.CrossRefGoogle Scholar
  47. 47.
    Margotta R. An illustrated history of medicine. In: Lewis L, editor. English translation. Middlesex: Hamlyn; 1968.Google Scholar
  48. 48.
    Cushing H. The employment of local anaesthetics in the radical cure of certain cases of hernia with a note on the nervous anatomy of the inguinal region. Ann Surg. 1900;31:1.CrossRefPubMedGoogle Scholar
  49. 49.
    Glassow F. Inguinal hernia repair using local anaesthesia. Ann R Coll Surg Engl. 1984;66:382–7.PubMedCentralPubMedGoogle Scholar
  50. 50.
    Barwell NJ. Results of conventional inguinal hernia surgery in England. In: Buchler MW, Farthmann EH, editors. Progress in surgery, vol. 21. Basel: Karger; 1996. p. 100–4.Google Scholar
  51. 51.
    Amid PK, Lichtenstein IL. Long-term result and current status of the Lichtenstein open tension-free hernioplasty. Hernia. 2003;2:89–94.CrossRefGoogle Scholar
  52. 52.
    Kingsnorth AN, Porter C, Bennett DH. The benefits of a hernia service in a public hospital. Hernia. 2000;4:1–5.CrossRefGoogle Scholar
  53. 53.
    Armstrong DN, Kingsnorth AN. Local anaesthesia in inguinal herniorrhaphy: influence of dextran and saline solutions on duration of action of bupivacaine. Ann R Coll Surg Engl. 1986;68:207–8.PubMedCentralPubMedGoogle Scholar
  54. 54.
    Karatassas A, Morris RG, Walsh D, Hung P, Slavotinek AH. Evaluation of the safety of inguinal hernia repair in the elderly using lignocaine infiltration anaesthesia. Aust N Z J Surg. 1993;63:266–9.CrossRefGoogle Scholar
  55. 55.
    Kastrissios H, Triggs EJ, Sinclair F, Moran P, Smithers M. Plasma concentrations of bupivacaine after wound infiltration of a 0.5% solution after inguinal herniorrhaphy; a preliminary study. Eur J Clin Pharmacol. 1993;44:555–7.CrossRefGoogle Scholar
  56. 56.
    Barwell NJ. Recurrence and early activity after groin hernia repair. Lancet. 1981;2:985.CrossRefGoogle Scholar
  57. 57.
    Glassow F. Short stay surgery (Shouldice technique) for repair of inguinal hernia. Ann R Coll Surg Engl. 1976;58:133–9.PubMedCentralPubMedGoogle Scholar
  58. 58.
    Glassow F. Ambulatory hernia repair (a discussion with M. Ravitch and G. Wantz). Contemp Surg. 1984;24:107–30.Google Scholar
  59. 59.
    Erichsen CJ, Vibits H, Dahl JB, Kehlet H. Wound infiltration with ropivacaine and bupivacaine for pain after inguinal herniotomy. Acta Anesthesiol Scand. 1995;39:67–70.CrossRefGoogle Scholar
  60. 60.
    Bay-Nielsen M, Klarskov B, Bech K, et al. Levobubivacaine vs bupivacaine as infiltration anaesthesia in inguinal herniorrhaphy. Br J Anaesth. 1999;82:280–2.CrossRefGoogle Scholar
  61. 61.
    Kingsnorth AN, Porter CA, Cummings GC, Bennett DH. A randomized, double-blind study to compare the efficacy of levobupivacaine with bupivacaine in elective inguinal herniorrhaphy. Eur J Surg. 2002;168:391–6.CrossRefGoogle Scholar
  62. 62.
    Kingsnorth AN, Wijesinha SS, Grixti CJ. Evaluation of dextran with local anaesthesia for short stay inguinal herniorrhaphy. Ann R Coll Surg Engl. 1979;61:456–8.PubMedCentralPubMedGoogle Scholar
  63. 63.
    Wantz GE. Atlas of hernia surgery. New York: Raven Press; 1991.Google Scholar
  64. 64.
    Charlton JE. Monitoring and supplemental oxygen during endoscopy. Br Med J. 1995;310:886–7.CrossRefGoogle Scholar
  65. 65.
    Association of Anaesthetists of Great Britain and Ireland. Recommendations for standards of monitoring during anaesthesia and recovery. revised ed. London: AAGBI; 1994.Google Scholar
  66. 66.
    MacKenzie JW. Daycase anaesthesia and anxiety: a study of anxiety profiles amongst patients attending a day bed unit. Anaesthesia. 1989;44:437–40.CrossRefGoogle Scholar
  67. 67.
    Skinner PP, Raftery AT, Rosario DJ. Transient femoral nerve palsy complicating preoperative ilioinguinal nerve blockade for inguinal herniorrhaphy. Br J Surg. 1994;81:897.CrossRefGoogle Scholar
  68. 68.
    Callesen T, Bech K, Nielsen R, et al. Pain after groin hernia repair. Br J Surg. 1998;85:1412–4.CrossRefGoogle Scholar
  69. 69.
    Young DV. Comparison of local, spinal, and general anesthesia for inguinal herniorrhaphy. Am J Surg. 1987;153:560–3.CrossRefGoogle Scholar
  70. 70.
    Peiper C, Tons C, Schippers E, et al. Local versus general anaesthesia for Shouldice repair of the inguinal hernia. World J Surg. 1994;18:912–5.CrossRefGoogle Scholar
  71. 71.
    Knapp RW, Mullen JT. Clinical evaluation of the use of local anaesthesia for the repair of inguinal hernia. Am Surg. 1976;42:908–10.Google Scholar
  72. 72.
    Godfrey PJ, Greenan J, Ranasinghe DD, et al. Ventilatory capacity after three methods of anaesthesia for inguinal hernia repair: a randomized controlled trial. Br J Surg. 1981;68:587–9.CrossRefGoogle Scholar
  73. 73.
    Alsarrage SAM, Godbole CSM. A randomised controlled trial to compare local with general anaesthesia for inguinal hernia repair. J Kuwait Med Assoc. 1990;24:31–4.Google Scholar
  74. 74.
    Spittal MJ, Hunter SJ. A comparison of bupivacaine instillation and inguinal field block for control of pain after herniorrhaphy. Ann R Coll Surg Engl. 1992;74:85–8.PubMedCentralPubMedGoogle Scholar
  75. 75.
    Dierking GW, Ostergaard E, Ostergard HT, Dahl JB. The effects of wound infiltration with bupivacaine versus saline on postoperative pain and opioid requirements after herniorrhaphy. Acta Anaesthesiol Scand. 1994;38:289–92.CrossRefGoogle Scholar
  76. 76.
    Tverskoy M, Cozacov C, Ayache M, Bradley EL Jr, Kissin I. Postoperative pain after inguinal herniorrhaphy with different types of anesthesia. Anesth Analg. 1990;70:29–35.CrossRefGoogle Scholar
  77. 77.
    Dierking GW, Dahl JB, Kanstrup J, Dahl A, Kehlet H. Effect of pre- vs postoperative inguinal field block on postoperative pain after hernoirrhaphy. Br J Anaesth. 1992;68:344–8.CrossRefGoogle Scholar
  78. 78.
    Møiniche S, Kehlet H, Dahl JB. A qualitative and quantitative systematic review of pre-emptive analgesia for postoperative pain relief: the role of timing of analgesia. Anesthesiology. 2002;96:725–41.CrossRefPubMedGoogle Scholar
  79. 79.
    Schurr MJ, Faucher LD. A prospective, randomized, comparative trial of a COX-2 selective nonsteroidal anti-inflammatory drug versus placebo in inguinal herniorrhaphy patients. Hernia. 2009;13:491–7.CrossRefPubMedGoogle Scholar
  80. 80.
    Turaga K, Wright A, Lee R, et al. A randomized trial of the peri-operative use of COX-2 inhibitors in Lichtenstein herniorrhaphy. Hernia. 2008;12:515–9.CrossRefGoogle Scholar
  81. 81.
    Dueholm S, Forrest M, Hjortsö E, et al. Pain relief following herniotomy: a double-blind randomized comparison between naproxen and placebo. Acta Anaesthesiol Scand. 1989;33:391–4.CrossRefGoogle Scholar
  82. 82.
    Ong CKS, Seymour RA, Lirk P, Merry AF. Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain. Anesth Analg. 2010;110(4):1170–9.PubMedCentralPubMedGoogle Scholar
  83. 83.
    Özgün H, Kurt MN, Kurt I, et al. Comparison of local, spinal and general anaesthesia for inguinal hemiorrhaphy. Eur J Surg. 2002;168:455–9.CrossRefGoogle Scholar
  84. 84.
    Behnia R, Hashemi F, Stryker SJ, Ujiki GT, Poticha SM. A comparison of general versus local anesthesia during inguinal herniorrhaphy. Surg Gynecol Obstet. 1992;174:277–80.Google Scholar
  85. 85.
    Friemert B, et al. A prospective randomized study on inguinal hernia repair according to the Shouldice technique. Benefits of local anesthesia. Chirurg. 2000;71:52–7.CrossRefGoogle Scholar
  86. 86.
    Gonullu NN, Cubukcu A, Alponat A. Comparison of local and general anesthesia in tension-free (Lichtenstein) hernioplasty: a prospective randomized trial. Hernia. 2002;6:29–32.CrossRefGoogle Scholar
  87. 87.
    Gultekin FA, et al. A prospective comparison of local and spinal anesthesia for inguinal hernia repair. Hernia. 2007;11:153–6.CrossRefGoogle Scholar
  88. 88.
    O’Dwyer PJ, et al. Local or general anesthesia for open hernia repair: a randomized trial. Ann Surg. 2003;237:574–9.CrossRefPubMedGoogle Scholar
  89. 89.
    Schmitz R, Shah S, Treckmann J, Schneider K. Extraperitoneal, “tension free” inguinal hernia repair with local anesthesia—a contribution to effectiveness and economy. Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1135–8.Google Scholar
  90. 90.
    van Veen RN, et al. Spinal or local anesthesia in lichtenstein hernia repair: a randomized controlled trial. Ann Surg. 2008;247:428–33.CrossRefGoogle Scholar
  91. 91.
    Kingsnorth AN, Britton BJ, Morris PJ. Recurrent inguinal hernia after local anaesthetic repair. Br J Surg. 1981;68:273–5.CrossRefGoogle Scholar
  92. 92.
    Morris GE, Jarrett PEM. Recurrence rates following local anaesthetic day case inguinal hernia repair by junior surgeons in a district general hospital. Ann R Coll Surg Engl. 1987;69:97–9.PubMedCentralPubMedGoogle Scholar
  93. 93.
    Sorensen LT, Friis E, Jørgensen T, et al. Smoking is a risk factor for recurrence of groin hernia. World J Surg. 2002;26:397–400.CrossRefGoogle Scholar
  94. 94.
    Flanagan L, Bascom JU. Repair of the groin hernia. Outpatient approach with local anesthesia. Surg Clin North Am. 1984;64:257–67.CrossRefGoogle Scholar
  95. 95.
    Nordin P, Hernell H, Unosson M, et al. Type of anaesthesia and patient acceptance in groin hernia repair: a multicentre randomised trial. Hernia. 2004;8:220–5.CrossRefGoogle Scholar
  96. 96.
    Aasbø V, Thuen A, Ræder J. Improved long-lasting postoperative analgesia, recovery function and patient satisfaction after inguinal hernia repair with inguinal field block compared with general anesthesia. Acta Anaesthesiol Scand. 2002;46:647–78.CrossRefGoogle Scholar
  97. 97.
    Bay-Nielsen M, Knudsen MS, Christensen JK, Kehlet H. Cost analysis of inguinal hernia surgery in Denmark. Ugeskr Laeger. 1999;161:5317–21.Google Scholar
  98. 98.
    Callesen T, Bech K, Kehlet H. The feasibility, safety and cost of infiltration anaesthesia for hernia repair. Hvidovre Hospital Hernia Group. Anaesthesia. 1998;53:31–5.CrossRefGoogle Scholar
  99. 99.
    Kendell J, Wildsmith JA, Gray IG. Costing anaesthetic practice. An economic comparison of regional and general anaesthesia for varicose vein and inguinal hernia surgery. Anaesthesia. 2000;55:1106–13.CrossRefGoogle Scholar
  100. 100.
    Nordin P, Zetterstrom H, Carlsson P, Nilsson E. Cost-effectiveness analysis of local, regional and general anaesthesia for inguinal hernia repair using data from a randomized clinical trial. Br J Surg. 2007;94:500–5.CrossRefGoogle Scholar

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryÖstersund HospitalÖstersundSweden

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