Anesthetic management by psoas compartment block for adult inguinal herniorrhaphy

Yukikazu Ito, Yoshihiro Fujiwara, Kiyoshi Horiba, Toru Komatsu

Research output: Contribution to journalArticlepeer-review


Spinal anesthesia has been often used for inguinal herniorrhaphy. With the advancement of surgical technique, tension free inguinal herniorrhaphy is now performed under local anesthesia. Local anesthesia, however, does not always offer sufficient anesthesia. We performed psoas compartment block with 1% lidocaine in a 78-year-old man undergoing tension free inguinal herniorrhaphy. During the operation, the patient felt pain and needed additional local anesthesia once. But the pain was not severe, and he did not feel stressed. Advantages of psoas compartment block for inguinal herniorrhaphy are its easiness to perform, little burden of anesthesia and high efficacy. Demerits are slow onset of block and necessity for prolonged patient monitoring. Further investigations on dose and patient position are required for psoas compartment block to become useful for inguinal herniorrhaphy.

Original languageEnglish
Pages (from-to)1162-1164
Number of pages3
JournalJapanese Journal of Anesthesiology
Issue number10
Publication statusPublished - 10-2005
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine


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