What are the logistics of getting my hernia repaired?
Most hernias are now being repaired on an ambulatory same day basis.
At the present time the conservative approach to routine hernia repair is an open repair, usually using the tension-free mesh repair. The patient goes to the hospital in the morning and leaves the same evening with a companion providing transportation. All preoperative work-up is done several days prior to the day of surgery. This includes discussion with the anesthesiologist or anesthetist as to the preferred type of anesthesia. The surgery is done in a regular operating room and the patient goes to the recovery room and then back to the ambulatory unit.
All three types of anesthesia are potentially applicable for open (incisional) hernia repair: local, regional and general anesthesia. This is dependent on the patient's medical condition and the preferences of the anesthesiologist, patient and surgeon. Laparoscopic repair at this time usually requires general anesthesia although some are experimenting with other options.
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