Skip to main content
Log in

Laparoscopic bilateral inguinal hernia repair under local anesthesia

  • Case Reports
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

A case report of the laparoscopic repair of bilateral inguinal hernias performed under local anesthesia with intravenous sedation is presented. The combination of nitrous oxide for peritoneal insufflation and an ultrasonically activated scalpel for dissection made the procedure feasible. It is hoped that this technique can extend laparoscopic surgery to patients who are poor candidates for general anesthesia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Amaral JF (1994) The experimental development of an ultrasonically activated scalpel for laparoscopic use. Surg Laparoscop Endosc 4: 92–99

    Google Scholar 

  2. Budavari S (1976) Monographs. In: Windholz M (ed) The Merck index. Merck & Co., Inc., Rahway, NJ, pp 6473–6474

    Google Scholar 

  3. Dubois F, Berthelot G, Levard H (1991) Laparoscopic cholecystectomy: Historical perspective and personal experience. Surg Laparoscop Endosc 1: 52–60

    Google Scholar 

  4. El-Minawi MF, Wahbi O, El-Bagouri IS, Sharawi M, El-Mallah SY (1981) Physiologic changes during CO2 and N2O pneumoperitoneum in diagnostic laparoscopy. A comparative study. J Reprod Med 26: 338–346

    Google Scholar 

  5. Ferzli GI, Massad A, Albert P (1992) Extraperitoneal inguinal hernia repair. J Laparoendosc Surg 2: 281–286

    Google Scholar 

  6. Gunatilake DE (1978) Case report: fatal intraperitoneal explosion during electrocoagulation via laparoscopy. Int J Gynaecol Obstet 15: 353–357

    Google Scholar 

  7. Hambley R, Hebda PA, Abell E, Cohen B, Jegasothy BV (1988) Wound healing of skin incisions produced by ultrasonically vibrating knife, scalpel, electrosurgery, and carbon dioxide laser. J Dermatol Surg Oncol 14: 11

    Google Scholar 

  8. Hemelrijck JV, Gonzales JM, White PF (1992) Pharmacology of intravenous anesthetic agents. In: Rogers MC (ed) Principles and practice of anesthesiology. Mosby Year-Book, St Louis, pp 1131–1148

    Google Scholar 

  9. Hodgson WJ, Poddar PK, Mencer EJ (1979) Evaluation of ultrasonically powered instruments in the laboratory and clinical setting. Am J Gastroenterol 72: 133–140

    Google Scholar 

  10. Meltzer RC, Hoenig DM, Chrostek CA, Bland KI, Amaral JF (1994) CO2 versus N2O insufflation for laparoscopy. Abstracts of the Residents Meeting of the Society of University Surgeons 10: 42.

    Google Scholar 

  11. Minoli G, Terruzzi V, Spinzi GC, Benvenuti C, Rossini A (1982) The influence of carbon dioxide and nitrous oxide on pain during laparoscopy: a double-blind, controlled trial. Gastrointest Endosc 28: 173–175

    Google Scholar 

  12. Sharp JR, Pierson WP, Brady CE (1982) Comparison of CO2- and N2O-induced discomfort during peritoneoscopy under local anesthesia. Gastroenterology 82: 453–456

    Google Scholar 

  13. Way LW (1990) Changing therapy for gallstone disease. N Engl J Med 323: 1273–1279

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pendurthi, T.K., DeMaria, E.J. & Kellum, J.M. Laparoscopic bilateral inguinal hernia repair under local anesthesia. Surg Endosc 9, 197–199 (1995). https://doi.org/10.1007/BF00191966

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00191966

Key words

Navigation