Local versus general anaesthesia for open inguinal hernia repair: a retrospective cohort study of…

Cohort studyMedicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina· Aug 2026

Local versus general anaesthesia for open inguinal hernia repair: a retrospective cohort study of postoperative complications and patient-reported outcomes.

Amir Tursunović, Kenana Ljuca, Emir Bećirović … Bahrudin Hadžiefendić

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Regional AnesthesiaCohort studyClinical practiceQ3IF 1.1

Local anaesthesia hernia repair linked to more early adverse outcomes, mainly haematoma

Local versus general anaesthesia for open inguinal hernia repair: a retrospective cohort study of postoperative complications and patient-reported outcomes.

Amir Tursunović … Bahrudin Hadžiefendić

Medicinski glasnik · Aug 2026 · Q3 in General Medicine

Purpose

To compare outcomes of elective open inguinal hernia repair under local anaesthesia (local anaesthesia) and general anaesthesia (general anaesthesia).

Methods

This retrospective cohort included 833 adults treated in Tuzla during 2017-2025.

n = 833 adults

Results

local anaesthesia roughly doubled the odds of an early complication, mostly haematoma

AOR by subgroup · 95% CI

More results

The local anaesthesia group included 425 patients and the general anaesthesia group 408.

Postoperative analgesia was required in 338 (79.5%) and 110 (27.0%) patients, respectively (p<0.001).

Chronic groin pain did not differ after adjustment (aOR 1.26, 95% CI 0.81-1.96; p = 0.310).

More results

Dissatisfaction was higher with local anaesthesia, 85 (20.8%) versus 40 (10.1%) (aOR 1.95, 95% CI 1.27-2.99; p = 0.002).

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Conclusion · 1 of 2

Local anaesthesia was associated with more early adverse outcomes and dissatisfaction than general anaesthesia. Chronic pain did not differ after adjustment, and recurrence was similar.

Conclusion · 2 of 2

Selection bias and residual confounding should be considered.

Local versus general anaesthesia for open inguinal hernia repair: a retrospective cohort study of postoperative complications and patient-reported outcomes.

Local versus general anaesthesia for open inguinal hernia repair: a retrospective cohort study of postoperative complications and patient-reported outcomes.

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