ArticleAmerican journal of surgery2021
Using local rather than general anesthesia for inguinal hernia repair is associated with shorter operative time and enhanced postoperative recovery.
Article in American journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 32 citations in OpenAlex.
- Barriers to the Implementation of Local Anesthesia for Older Adults Undergoing Inguinal Hernia Repair.Journal of the American Geriatrics Society · 2026Article
- Awake prone lateral transpsoas lumbar interbody fusion with simultaneous posterior decompression and fusion: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- The Impact of Preoperative Risk Factors on Delayed Discharge in Day Surgery: A Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Laparoscopic vs. open inguinal hernia repair outcomes in patients aged 65 years and older.Frontiers in surgery · 2025Article
- Article
- Open preperitoneal inguinal hernia repair has superior 1-year patient-reported outcomes compared to Shouldice non-mesh repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Comparative Analysis of Bilateral Open Inguinal Hernia Repair and Rives-Stoppa Repair: A Comprehensive Review.Cureus · 2024Review
- Improved patient-reported outcomes after open preperitoneal inguinal hernia repair compared to anterior Lichtenstein repair: 10-year ACHQC analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- How to start an awake spine program: Protocol and illustrative cases.IBRO neuroscience reports · 2022Review
- Limited use of local anesthesia for open inguinal hernia repair: a qualitative study.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Use of local anesthesia for inguinal hernia repair has decreased over time in the VA system.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Trends and outcomes of open, laparoscopic, and robotic inguinal hernia repair in the veterans affairs system.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Open, laparoscopic, and robotic inguinal hernia repair: more options, more questions.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Racial and Ethnic Disparities in Access to Local Anesthesia for Inguinal Hernia Repair.The Journal of surgical research · 2021Article
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundInguinal hernia repair is the most common general surgery procedure and can be performed under local or general anesthesia. We hypothesized that using local rather than general anesthesia would improve outcomes, especially for older adults.
methodsThis is a retrospective review of 97,437 patients in the Veterans Affairs Surgical Quality Improvement Program who had open inguinal hernia surgery under local or general anesthesia. Outcomes included 30-day postoperative complications, operative time, and recovery time.
resultsOur cohort included 22,333 (23%) Veterans who received local and 75,104 (77%) who received general anesthesia. Mean age was 62 years. Local anesthesia was associated with a 37% decrease in the odds of postoperative complications (95% CI 0.54-0.73), a 13% decrease in operative time (95% CI 17.5-7.5), and a 27% shorter recovery room stay (95% CI 27.5-25.5), regardless of age.
conclusionsUsing local rather than general anesthesia is associated with a profound decrease in complications (equivalent to "de-aging" patients by 30 years) and could significantly reduce costs for this common procedure.
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