bandage-green

Epigastric, Femoral, and Spigelian Hernia Repair

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Required for laparoscopic repair; unnecessary for open repair under local or MAC
Blocks : Rectus Sheath, TAP, Ilioinguinal/Iliohypogastric
Considerations : Aspiration risk / Full stomach, PONV, Obesity

Anesthetic Approaches

1GETT
2MAC, Propofol Drip, Local Anesthetic
3Spinal
The Surgery

Open epigastric repair - small vertical or transverse incision directly over the linea alba defect; the preperitoneal fat or sac is reduced or excised and the defect closed primarily with sutures,...

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