Melland-Smith, M., Zheng, X., Messer, N., Beffa, L., Petro, C., Prabhu, A., et al. (2024) Epidural Analgesia and Post-Operative Ileus after Incisional Hernia Repair with Transversus Abdominis Release: Results of a 5-Year Quality Improvement Initiative. The American Journal of Surgery, 230, 30-34.
https://doi.org/10.1016/j.amjsurg.2023.11.009

has been cited by the following article:

• TITLE: Choice of Neuraxial over General Anesthesia for Incisional Hernia Repair: A Case Report

  AUTHORS: Vera Irisse M. Galpo, Karmi Marcial

  KEYWORDS: Hernia, Neuraxial Anesthesia, Surgical Repair, General Anesthesia

  JOURNAL NAME: Open Access Library Journal, Vol.11 No.11, November 27, 2024

  ABSTRACT: Background: Incisional hernias usually developed from the former postoperative scar. Surgery is often necessary to push the protruding tissue back in place, remove any scar, and adhere to a surgical mesh to prevent recurrence. Open ventral repair is often performed under general anaesthesia but can also be done under neuraxial anesthesia. Case Report: We report a case of a 59-year-old female, ASA 2 for Obesity (BMI 31 kg/m2), Hypertension, Type 2 Diabetes Mellitus non-insulin requiring, and Bronchial asthma not in acute exacerbation, who presented with a 9-month history of periumbilical bulge more prominent upon standing up and straining. Patient underwent mesh repair of incisional under neuraxial anaesthesia due to associated co-morbidities. Conclusion: While most would do the case under general anaesthesia, neuraxial anesthesia offers a more reasonable anesthetic plan, especially in patients presenting with different comorbidities. Novel Aspects: Neuraxial anesthesia for incisional hernia repair is feasible and offers less airway manipulation and opioid requirements. Avoiding intubation and muscle relaxant in the setting of morbidly obese and asthmatic patients allow better and enhanced postoperative respiratory recovery with optimal pain control.