Which anesthesia is used in laparoscopic inguinal hernia repair?

Updated: Apr 16, 2020
  • Author: Danny A Sherwinter, MD; Chief Editor: Kurt E Roberts, MD  more...
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Although a TEP repair can be performed with epidural anesthesia, general anesthesia is preferred as a rule.

Elective inguinal hernia repair is considered a clean procedure (<2% rate of surgical site infection). Although the data currently available are not conclusive, one meta-analysis supports the use of antibiotic prophylaxis when performing a mesh-based repair. [86] Typically, a single dose of a cephalosporin (eg, cefazolin) is administered by the anesthesiologist before the skin incision. [87] A definitive answer to the antibiotic question awaits the performance of a properly powered, well-constructed, prospective, randomized study.

General anesthesia is usually required for a TAPP repair, though there are reports of spinal anesthesia being used. [50, 51] If a patient cannot tolerate or prefers not to undergo general anesthesia, open repair should be considered.

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