Local Anesthesia for Open Inguinal Hernia Repair
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Subdermal infiltration

Skin

Anesthetize

Anesthetize the skin with a subdermal infiltration of 5 cc of anesthetic mixture along the line of the planned incision, parallel to the surface of the skin.

Local anesthesia composition

A 50:50 mixture of 1% lidocaine and 0.5% bupivacaine is recommended. For a unilateral hernia repair, 45 cc should (on average) be sufficient. Infiltrate with a moving needle, this minimizes the risk of prolonged intravenous infiltration.

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