Does hernia surgery still need general anesthesia?

Ordinary hernia surgery can be performed under spinal anesthesia or local anesthesia. During the operation, the patient is awake and can even chat with the operator.

Laparoscopic hernia repair requires general anesthesia, because laparoscopic surgery requires pneumoperitoneum, that is, filling the abdomen with carbon dioxide gas, so that there is enough room for operation.

Laparoscopic surgery is to put the camera into the abdominal cavity after the pneumoperitoneum is established. At this point, under the monitor, you can see a clear enlarged abdominal cavity image. Whether appendectomy, cholecystectomy, digestive tract perforation repair, or inguinal hernia repair, the operation can be performed in a clear video. Because of the magnifying effect of laparoscopy, compared with traditional surgery, laparoscopic surgery has fine anatomy, less bleeding, less trauma and faster postoperative recovery. Many operations can be discharged within three days, even during the day (surgery on the same day, discharge on the same day).

Compared with the traditional open surgery, laparoscopic surgery does not need to make a big incision, but it also needs surgery space, pneumoperitoneum, general anesthesia, tracheal intubation or laryngeal mask anesthesia. The main difference between general anesthesia and spinal anesthesia or nerve group anesthesia is that the patient is unconscious after anesthesia, that is, as the saying goes, he is asleep.

From a medical point of view, general anesthesia is the safest anesthesia. Some people may not understand. They also say that general anesthesia will affect intelligence and so on. Simple general anesthesia will not affect intelligence. People's misunderstanding of general anesthesia is mostly one in 100,000 anesthesia accidents, and even general anesthesia has its risks. If there is an accident in general anesthesia, general anesthesia must be changed to rescue. Popular science here, in medicine, there is no 100%, just a question of probability. Even very safe general anesthesia has been reported in the medical field all over the world, and it is life-threatening. But we should know that the population base of this risk is hundreds of millions, which is much smaller than the chance of winning the lottery.

This is the abdominal incision of laparoscopic hernia repair we did. Add 10mm observation hole on navel and 5mm holes on both sides. You can eat and drink water after anesthesia, and there is no obvious pain when you get out of bed. You can leave the hospital on the first day and have your stitches removed in the hospital seven days later.

On the first day after operation, the patient smiled and walked freely. Why does he look like a patient who has just finished surgery?