A Trial of Local Anaesthesia Versus Local Anaesthesia and Conscious Sedation for Hernioplasty

Improving Patient Outcomes With Inguinal Hernioplasty - a Randomized Controlled Trial of Local Anaesthesia Versus Local Anaesthesia and Conscious Sedation

The aim of this RCT is to compare patient outcomes of inguinal hernioplasty under Local Anaesthesia alone versus Local Anaesthesia and Conscious Sedation

Specific study objectives are to determine the effect of conscious sedation on:

(i) patient satisfaction (ii) postoperative pain (iii) time to discharge (iv) intraoperative complications (v) postoperative functional status (vi) short-term postoperative complications (vii) long-term postoperative complications

Inclusion Criteria:

• Reducible inguinal hernia

Exclusion Criteria:

• Renal, hepatic, respiratory, cardiovascular, neurologic or psychiatric disease
• Body mass index < 18.5 kg/m2 or > 30 kg/m2
• Recurrent inguinal hernias
• Bilateral inguinal hernias
• Large inguinoscrotal hernias
• Incarcerated hernia
• Allergies to local anaesthetic and sedative agents
• Pregnancy
• Lactation
• Chronic pain syndromes
• Anxiety disorders
• Marijuana use
• Long term use of opioid or sedative agents