Evaluation of modified ultrasound-guided segmental anesthesia combined with propofol for kugel herniorraphy in adults

Abstract

The present study reported the evaluation of modified ultrasound-guided segmental anesthesia, which had been modified from the conventional method, in combination with propofol (modified anesthesia) for kugel inguinal hernia repair. In all, 116 adult patients with inguinal hernia underwent kugel herniorrhaphy under the modified anesthesia. Of the 116 patients, 14 (12.1%) required additional analgesics mainly during the dissection of the peritoneum or the hernial sac. Of the 88 patients who were anesthetized in combination with an occasional scatter of sufficient 0.5% lidocaine into the preperitoneal space, with attention paid to the gentle and careful manipulation in the latest 22 months, 84 (95.5%) could undergo all the procedures only under the modified anesthesia, without requiring any other kind of analgesics such as laughing gas or fentanyl. In conclusion, our modified anesthesia method is safe, simple, and minimally invasive and can be effectively used for kugel herniorrhaphy, especially in the case of day surgery.