Recovery profiles and costs of anesthesia for outpatient unilateral inguinal herniorrhaphy

Dajun Song, Nancy B. Greilich, Paul F. White, Mehernoor F. Watcha, W. Kendall Tongier

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199 Scopus citations

Abstract

The use of an ilioinguinal-hypogastric nerve block (IHNB) as part of a monitored anesthesia care (MAC) technique has been associated with a rapid recovery profile for outpatients undergoing inguinal herniorrhaphy procedures. This study was designed to compare the cost-effectiveness of an IHNB-MAC technique with standardized general and spinal anesthetics techniques for inguinal herniorrhaphy in the ambulatory setting. We randomly assigned 81 consenting outpatients to receive IHNB-MAC, general anesthesia, or spinal anesthesia. We evaluated recovery times, 24-h postoperative side effects and associated incremental costs. Compared with general and spinal anesthesia, patients receiving IHNB-MAC had the shortest time-to-home readiness (133 ± 68 min vs 171 ± 40 and 280 ± 83 min), lowest pain score at discharge (15 ± 14 mm vs 39 ± 28 and 34 ± 32 mm), and highest satisfaction at 24-h follow-up (75% vs 36% and 64%). The total anesthetic costs were also the least in the IHNB-MAC group ($132.73 ± 33.80 vs $172.67 ± 29.82 and $164.97 ± 31.03). We concluded that IHNB-MAC is the most cost-effective anesthetic technique for outpatients undergoing unilateral inguinal herniorrhaphy with respect to speed of recovery, patient comfort, and associated incremental costs.

Original languageEnglish (US)
Pages (from-to)876-881
Number of pages6
JournalAnesthesia and analgesia
Volume91
Issue number4
DOIs
StatePublished - Jan 1 2000

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ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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