Inno J, Vol. 2, Issue 1.

DOI 10.17613/6xvfg-9es57

Review Articles

Efficacy of Pain Management and Safety of Tumescent Local Anesthesia Compared to Regional Anesthesia in Groin Hernias: A Literature Review

Santos-Vega, Adrián Alberto¹; Proa-Arriaga, Alejandra Yovanka¹; Martínez Cuspinera, Fernando¹; Luna Vázquez, Emilio Rubén¹.

Correspondence: adriansantos@uadec.edu.mx

¹Department of General Surgery, University Hospital of Saltillo, Universidad Autónoma de Coahuila, Saltillo, Coahuila, Mexico.

Keywords: Inguinal hernioplasty, tumescent local anesthesia, regional block, postoperative pain, cost-effectiveness.

Abstract: Tumescent local anesthesia (TLA) has emerged as a promising option for pain management in open inguinal hernioplasty. This review analyzes the efficacy and safety of TLA compared to regional block, covering studies published between 2019 and 2024. Findings suggest that TLA provides effective postoperative pain control, with up to 80% of patients requiring no additional analgesics, and presents a low complication rate. Furthermore, TLA is more cost-effective and associated with fewer adverse effects, particularly in elderly populations. Implementing this technique could transform standards of care in inguinal surgery, although further studies are needed to investigate pain perception and long-term effectiveness. This work underscores the importance of interdisciplinary collaboration in pain management to enhance patient experience.

Cite as: Santos-Vega AA, Proa-Arriaga AY, Martínez Cuspinera F, Luna Vázquez ER. Efficacy of Pain Management and Safety of Tumescent Local Anesthesia Compared to Regional Anesthesia in Groin Hernias: A Literature Review. Innoscience Journal. 2025 jun 2;2(1):55-63. DOI 10.17613/6xvfg-9es57

Received: May 14, 2025
Accepted: May 31, 2025
Published: Jun 02, 2025

Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Conflicts of Interest: The authors declare that this manuscript was approved by all authors in its current form and that there are no conflicts of interest.

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