Skip to content
DraconiticResearch
Search Sources API
197,785 studies31 sourcesUpdated 40 min ago
Peer-reviewedCC BY 4.0Anz Journal of Surgery

Inguinal Hernia Repair Under Local Anesthesia: Benefits, Contraindications, Barriers to Use; A Narrative Review

  • Seyed Ahmad Masoumi Lari1
  • Niloufar Roustaei2
  1. 1Department of Biology York University, Farquharson Life Sciences Building Toronto Ontario Canada
  2. 2Independent Researcher Toronto Ontario Canada
Read full textPDFDOICite

Abstract

Background: Inguinal hernia repair is a common surgery worldwide. Despite the advantages of local anesthesia, many healthcare providers avoid using this method due to several barriers relating to patients, surgical team, and operating rooms.

Method: A review of studies published in PubMed and Google Scholar was conducted to examine outcomes, costs, patient satisfaction, safety, and barriers associated with the use of local anesthesia for inguinal herniorrhaphy.

Results: Local anesthesia was associated with many advantages including less postoperative pain, fewer complications, shorter hospital stay, lower healthcare costs, and safer in high‐risk patients compared with spinal and general anesthesia. New methods such as tumescent local anesthesia and the combination of hypnosis and conscious sedation with local anesthesia enhance the effectiveness and safety of local anesthesia, improving both surgeon and patient experience. Selected studies demonstrated that using local anesthesia in some traditional contraindications such as obesity and recurrent cases is a safe and effective option. Despite the strong evidence, there are some barriers that limit the use of local anesthesia including patient anxiety, intraoperative pain, surgeon discomfort, staff communication problems, logistic issues, and lack of institutional protocols.

Conclusion: Local anesthesia is a safe and cost‐effective method for inguinal hernia repair. To facilitate the routine use of local anesthesia, it is crucial to address the barriers through training the surgical team, the development of standardized protocols and logistics, and enhanced patient awareness.

Related

  1. Inguinal or Para-Aortic Lymph Node Metastasis in Colorectal Cancer: A Narrative Review of Different Treatment Approaches
    Martin P. Nilsson, Jakob Eberhard, Anders Johnsson +3
    CancersPeer-reviewedCC BY 4.0Full textOncologyCrossrefEurope PMC
  2. Clinical Application and Safety of Intrathecal Adjuvants in Single-Shot Thoracic Segmental Spinal Anesthesia: A Narrative Review
    Imran Ahmed Khan, Naresh Wamanrao Paliwal, Harbhajan S Saini
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  3. Balancing clinical benefits and behavioral risks of obesity-focused management in youth-onset type 2 diabetes: A narrative review
    Rutha Chivate, Caroline Christian, Abigail Hartman +3
    TouchREVIEWS in endocrinologyPeer-reviewedCC BYFull textEndocrinology & metabolismEurope PMCPMC
  4. Barriers, benefits, and unmet needs in full-time, off-the-job training among oncology nurses: a qualitative descriptive study.
    Bohui Shi, Yanqing Kang, Wenqian Zhao +7
    Frontiers in medicinePeer-reviewedCC BYFull textGeneral medicineEurope PMC
  5. Telepharmacy-based mobile health for diabetes care: models, benefits, and barriers-a scoping review.
    Amelia Rumi, Mila Karisma Fitriawati, Fakih Haikal +3
    BMC medical informatics and decision makingPeer-reviewedCC BYFull textEpidemiology & public healthEurope PMC

Cite

BibTeXRIS
BibTeX
@article{lari2026inguinal,
  title = {{Inguinal Hernia Repair Under Local Anesthesia: Benefits, Contraindications, Barriers to Use; A Narrative Review}},
  author = {Seyed Ahmad Masoumi Lari and Niloufar Roustaei},
  journal = {Anz Journal of Surgery},
  year = {2026},
  month = sep,
  doi = {10.1111/ans.70962},
  url = {https://doi.org/10.1111/ans.70962},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Inguinal Hernia Repair Under Local Anesthesia: Benefits, Contraindications, Barriers to Use; A Narrative Review
AU  - Seyed Ahmad Masoumi Lari
AU  - Niloufar Roustaei
PY  - 2026
DA  - 2026/09/22
JO  - Anz Journal of Surgery
DO  - 10.1111/ans.70962
UR  - https://doi.org/10.1111/ans.70962
AB  - Background: Inguinal hernia repair is a common surgery worldwide. Despite the advantages of local anesthesia, many healthcare providers avoid using this method due to several barriers relating to patients, surgical team, and operating rooms.  Method: A review of studies published in PubMed and Google Scholar was conducted to examine outcomes, costs, patient satisfaction, safety, and barriers associated with the use of local anesthesia for inguinal herniorrhaphy.  Results: Local anesthesia was associated with many advantages including less postoperative pain, fewer complications, shorter hospital stay, lower healthcare costs, and safer in high‐risk patients compared with spinal and general anesthesia. New methods such as tumescent local anesthesia and the combination of hypnosis and conscious sedation with local anesthesia enhance the effectiveness and safety of local anesthesia, improving both surgeon and patient experience. Selected studies demonstrated that using local anesthesia in some traditional contraindications such as obesity and recurrent cases is a safe and effective option. Despite the strong evidence, there are some barriers that limit the use of local anesthesia including patient anxiety, intraoperative pain, surgeon discomfort, staff communication problems, logistic issues, and lack of institutional protocols.  Conclusion: Local anesthesia is a safe and cost‐effective method for inguinal hernia repair. To facilitate the routine use of local anesthesia, it is crucial to address the barriers through training the surgical team, the development of standardized protocols and logistics, and enhanced patient awareness.
SN  - 1445-1433
SN  - 1445-2197
ER  -