Local Anesthesia for the Shouldice Repair of the Inguinal Hernia

2015 ◽  
pp. 92-100
Author(s):  
Christian Peiper ◽  
Volker Schumpelick
Keyword(s):  
Inguinal Hernia ◽  
Local Anesthesia ◽  
Shouldice Repair

scholarly journals Using Local Anesthesia for Inguinal Hernia Repair Reduces Complications in Older Patients

2021 ◽  
Vol 258 ◽  
pp. 64-72
Author(s):  
Courtney J. Balentine ◽  
Jennie Meier ◽  
Miles Berger ◽  
Joan Reisch ◽  
Munro Cullum ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Local Anesthesia ◽  
Older Patients

scholarly journals Modified shouldice repair of bilateral inguinal hernia with hydrocele: A case report

2017 ◽  
Vol 7 (1) ◽  
pp. 62-65
Author(s):  
Smit Shah ◽  
Praful Shah
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Medical Condition ◽  
Interesting Case ◽  
Indirect Inguinal Hernia ◽  
Bilateral Inguinal Hernia ◽  
Processus Vaginalis ◽  
Shouldice Repair ◽  
Operative Outcome ◽  
Common Medical Condition

Indirect inguinal hernia is a common medical condition that can be caused by an embryological defect due to failure of closure of processus vaginalis that can lead to herniation (i.e. abnormal protrusion) of abdominal contents into scrotal sac in males. In this paper, we describe an interesting case report of a patient with bilateral inguinal hernia with hydroceles who underwent a modified shouldice repair. In addition, we also discuss initial presentation & surgical management of this patient who had painless postero-inferior displacement of testes. Reason why we think this case is unique, is because of ‘bilateral’ hydroceles along with bilateral inguinal hernia which is rarely seen as compared to its unilateral counterparts. We also describe various surgical steps of modified shouldice repair with bilateral orchiopexy along with the post-operative outcome. Finally, we also discuss various types of hydroceles, along with its pathology that is found after surgical resection.South East Asia Journal of Public Health Vol.7(1) 2017: 62-65

Reducing Pain after Inguinal Hernia Repair in Children

1997 ◽  
Vol 87 (3) ◽  
pp. 542-546 ◽  
Author(s):  
William M. Splinter ◽  
Craig W. Reid ◽  
David J. Roberts ◽  
Juan Bass
Keyword(s):  
Nitrous Oxide ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Local Anesthesia ◽  
Demographic Data ◽  
Pain Scale ◽  
Linear Analog ◽  
Caudal Analgesia ◽  
Intravenous Ketorolac

Background The optimal method to achieve analgesia after inguinal hernia repair in children is unknown. This study compared the analgesic efficacy, adverse events, and the costs associated with supplementation of local anesthesia (infiltration of the wound) with either intravenous ketorolac or caudal analgesia in children having inguinal hernia repair. Methods With parental consent and institutional review board approval, children aged 2-6 yr having elective, outpatient inguinal hernia repair were studied in this randomized, single-blinded investigation. Anesthesia was induced by inhalation with nitrous oxide and halothane or intravenously with propofol. Anesthesia was maintained with nitrous oxide and halothane. Patients were randomly assigned to receive caudal analgesia (1 ml/kg 0.20% bupivacaine with 1/200,000 epinephrine) or intravenous ketorolac (1 mg/kg) immediately after induction of anesthesia. Both groups received field blocks with 0.25% bupivacaine administered by the surgeon under direct vision during operation. Patients were assessed for 24 h. In-hospital pain was assessed using a behavior-based pain score. Parents assessed pain with a visual linear analog pain scale with anchors of 0 (no pain) and 100 (worst pain imaginable). Results The authors studied 164 children, with 84 patients in the ketorolac group. The groups had similar demographic data. In-hospital analgesic requirements and pain scores were almost identical in both groups. Pain at home was significantly less in the ketorolac group, with visual linear analog pain scale scores of 10 (0-80) compared with 20 (0-80) (median [range]) for ketorolac versus caudal (P = 0.002 by the Mann-Whitney U test). The ketorolac group also had a lower incidence of vomiting, ambulated more rapidly, and micturated earlier (P < 0.05). Conclusion The use of intravenous ketorolac to supplement local anesthesia infiltrated by the surgeon during pediatric inguinal hernia repair is superior to supplementation with caudal analgesia.

Randomized clinical trial comparing 5-year recurrence rate after laparoscopicversus Shouldice repair of primary inguinal hernia

2005 ◽  
Vol 92 (9) ◽  
pp. 1085-1091 ◽  
Author(s):  
D. Arvidsson ◽  
F. H. Berndsen ◽  
L. G. Larsson ◽  
C.-E. Leijonmarck ◽  
G. Rimbäck ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Inguinal Hernia ◽  
Randomized Clinical Trial ◽  
Recurrence Rate ◽  
Shouldice Repair ◽  
Primary Inguinal Hernia

One-Thousand Consecutive Inguinal Hernia Repairs Under Unmonitored Local Anesthesia

2001 ◽  
Vol 93 (6) ◽  
pp. 1373-1376 ◽  
Author(s):  
Torben Callesen ◽  
Karsten Bech ◽  
Henrik Kehlet
Keyword(s):  
Inguinal Hernia ◽  
Local Anesthesia

scholarly journals Inguinal Hernia Repair with Local Anesthesia in the Outpatient—10 Year Experience

2014 ◽  
Vol 05 (12) ◽  
pp. 644-649
Author(s):  
Flavio Antonio de Sá Ribeiro ◽  
Baltazar de Araujo Fernandes ◽  
João Pedro de Araujo Simões Corrêa
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Local Anesthesia

scholarly journals THE USEFULNESS OF LOCAL ANESTHESIA WITH AN INHALED NITROUS OXIDE IN OPERATION FOR INGUINAL HERNIA IN ADULT PATIENTS

1999 ◽  
Vol 60 (11) ◽  
pp. 2851-2855 ◽  
Author(s):  
Shuichiro SUZUKI ◽  
Fuminori YAMAGISHI ◽  
Seiichi MORITA ◽  
Yasunori TSUCHIYA ◽  
Koji KISHIMOTO
Keyword(s):  
Nitrous Oxide ◽  
Inguinal Hernia ◽  
Local Anesthesia ◽  
Adult Patients

957 Comparison of Inguinodynia In Patients Undergoing Prophylactic Ilioinguinal Neurectomy vs No Neurectomy In Lichtenstein Mesh Hernioplasty

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
Z Hashmi ◽  
R Ahmed ◽  
M Ahmed ◽  
N Yousaf ◽  
T Zafar ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Pain Score ◽  
Local Anesthesia ◽  
Age Group ◽  
Younger Age ◽  
Lichtenstein Hernia Repair ◽  
Male Patients ◽  
Group 10 ◽  
Mesh Hernioplasty

Abstract Objective The objective of this study is to compare the frequency of inguinodynia in ilioinguinal neurectomy VS no neurectomy in patients undergoing Lichtenstein mesh hernioplasty. Method 200 male patients with unilateral, primary, reducible inguinal hernia were randomly distributed in to two groups by using lottery method to undergo Lichtenstein’s hernia repair i.e., with and without ilioinguinal neurectomy. All the operation were carried out under local anesthesia. Pain score was calculated using the VAS system at 3rd month and inguinodynia was labelled if it is more than 1 on VAS scale. Results 200 male patients with mean age of 53.25 ± 6.768 were included. 42 (21%) had Inguinodynia after surgery. When we cross tabulated both groups with inguinodynia, results came up significant (p = 0.001). In neurectomy group 10 patients had inguinodynia while in no neurectomy group, 32 patients were having Inguinodynia. There was no effect of malnutrition on outcome. Younger age group benefitted more from procedure. Conclusions It is concluded that there is difference in frequency of inguinodynia in ilioinguinal neurectomy versus no neurectomy in patients undergoing Lichtenstein hernia repair. Patients with ilioinguinal neurectomy had reduced incidence of inguinodynia.

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