The patient will have an opportunity to discuss options with the anesthesiologist, either at a pre-admission clinic a week or two before the surgery, or on the morning of the procedure. While the patient is asleep, a breathing tube may be inserted in his or her mouth so that the anesthesiologist can protect the airway if there’s concern about aspiration (inhaling the stomach’s contents back up into the airway) otherwise, the patient may simply breathe through a mask. Patients remember nothing about the surgery when they wake up. Then the patient is given medication through an I.V., which causes unconsciousness. In the operating room, the patient is hooked up to monitors, and given oxygen through a mask. General anesthesia: This may be required for complicated repairs. "We can also take over the patient’s breathing if we feel we need to transition to deep sedation or a general anesthetic.” Using this method, the level of sedation can range anywhere from almost wide awake to fast asleep. Standard monitors such as an electrocardiogram (EKG) and blood pressure cuff are used, and medication is administered intravenously. “We start with low levels of sedation, but can raise it to a higher level if the patient is not tolerating the discomfort or the surgeon needs to extend the length of the incision," Dr. The patient is given a local anesthetic to numb the area where the surgery is performed, and some sedatives to help him remain relaxed and calm, but remains fully awake during the procedure. Monitored anesthesia care: This is used for “relatively simple cases," such as an inguinal hernia or some of the smaller ventral or umbilical hernias, where the surgeon thinks he can do the procedure with little or no sedation, Dr. It can theoretically can be done in the surgeon’s office with just a nurse in attendance, but it is usually done in an operating room or a “special procedure” room. Local anesthesia: Only used for the most superficial, easily repaired hernias, local anesthesia is injected at the site of the repair. The different levels of anesthesia include: Hernia surgery may be traditional open surgery or laparoscopic surgery, which involves smaller incisions through which the surgeon passes several thin tubes, small surgical instruments and a camera. In addition to the type of procedure the surgeon plans to perform, It's important to consider any potential alternatives the surgeon may use if the initial technique is not sufficient to complete the repair, Dr. It also depends on the surgical technique planned by the surgeon, as well as the patient’s health and preferences. The method of anesthesia depends on many factors, including the type, size and location of the hernia, and whether a section of the bowel is being incarcerated (unable to move back into place) or strangulated (pinched off so blood can’t flow to it) in the hernia.
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