Selected aspects of anesthesia for inguinal hernia repair sugery

It is possible to perform inguinal hernia surgery by using a variety of anesthesia techniques. The choice of the method is conditioned by a pre-operative assessment of the patient's general condition. Regional techniques (spinal and epidural anesthesia) require special attention to the patient's anti-coagulation therapy or other coagulation disorders for other reasons, but they are the preferred method for inguinal hernia operations. General anesthesia for laparoscopic surgery is used in patients with contraindications for spinal anesthesia, because it is related to the systemic influence of anesthetics and the need for replacement ventilation; it is also preferred method for children, as it is ususally impossible to perform a central block due to the patient's lack of cooperation. Local anesthesia in combination with analgosedation is the technique used the least as it requires full cooperation with the patient. Effective treatment of postoperative pain can be achieved by combining pharmacotherapy with regional anesthetic techniques and local anesthesia, which allows patients to achieve greater satisfaction with the applied treatment, as well as reduces the risk of unfavorable course of the healing process.