January 1, 1998Anaesthesia
The feasibility, safety and cost of infiltration anaesthesia for hernia repair
Key result
Unmonitored local anaesthesia for elective inguinal hernia repair resulted in an 88% patient satisfaction rate and reduced costs by at least 160 Pounds per patient compared with general anaesthesia.
Why the study?
Does unmonitored local anaesthesia improve feasibility, patient satisfaction, and reduce costs in patients undergoing elective inguinal hernia repair?
Population
400 consecutive patients undergoing elective ambulatory operations for inguinal hernia, median age 59 years…
Comparison
Unmonitored local anaesthesia with limited… vs General/regional anaesthesia.
Design
Cohort
Follow-up
1 week postoperative and subsequent follow-up
Authors
Discussion
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Implication
Unmonitored local anaesthesia may support high satisfaction and cost savings in elective hernia repair; leaves open confirmation in randomized trials.
Study Design
Type
Cohort (n=400)
Structured PICO
Does unmonitored local anaesthesia improve feasibility, patient satisfaction, and reduce costs in patients undergoing elective inguinal hernia repair?
P
Population
400 consecutive patients undergoing elective ambulatory operations for inguinal hernia under unmonitored local anaesthesia, with 1-week postoperative follow-up.
E
Exposure
Unmonitored local anaesthesia (infiltration anaesthesia) with limited pre-operative testing.
C
Comparator
General/regional anaesthesia (used for cost comparison).
O
Outcome
Feasibility, patient satisfaction, and potential cost reductions.patient reported
Elective inguinal hernia repair can be routinely performed under unmonitored local anaesthesia with high patient satisfaction, low morbidity, and significant cost savings.
Cite This Study
Callesen et al. (1998) conducted a cohort in Inguinal hernia (n=400). Unmonitored local anaesthesia (infiltration anaesthesia) vs. General/regional anaesthesia was evaluated on Patient satisfaction. Unmonitored local anaesthesia for elective inguinal hernia repair resulted in an 88% patient satisfaction rate and reduced costs by at least 160 Pounds per patient compared with general anaesthesia.