Ilioinguinal/Iliohypogastric Block for Inguinal Hernia Repair

Lawson Health Research Institute

Status: Unknown

Conditions: Anesthesia

Treatments: Procedure: Regional Anesthesia and Sedation

Study type: Observational

Funder types: Other

Identifiers

NCT05335837

119564

Details and patient eligibility

About

Inguinal hernia have traditionally been done under general anesthesia. While safe, general anesthesia is associated with potential postoperative nausea/vomiting and drowsiness. Additionally, the recent COVID19 pandemic has heightened the precaution to avoid aerosol generating procedures (AGP) if possible. General anesthesia requires airway manipulation, thus necessitate performing an AGP. Recently, we began using peripheral nerve block and sedation as primary anesthetic technique for inguinal hernia repairs. While surgeon administered local anesthetic, also known as local infiltration, has been done for inguinal hernia repair, using specific nerve blocks and sedation has not been compared with general anesthesia. We believe the advantage of this novel technique can improve postoperative recovery. This retrospective study will compare the total hospital length of stay of those receiving nerve blocks and sedation as primary anesthetic techniques versus those with general anesthesia.

Enrollment: 350 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18 years or older
• American Society of Anesthesiologists (ASA) Physical Status I to III
• Body Mass Index (BMI) less than 45
• Single hernia repair, elective, ambulatory surgery

Exclusion criteria

• Opioid dependence (30 mg oral morphine equivalents daily or more)
• History of malignant hyperthermia
• Pregnancy

Trial design

350 participants in 2 patient groups

General Anesthesia

Description:

patients received general anesthesia for inguinal hernia repair

Regional Anesthesia and Sedation

Description:

patients received ilioinguinal/iliohypogastric nerve blocks and sedation for inguinal hernia repair

Treatment:

Procedure: Regional Anesthesia and Sedation