you ask a good question. many people have concerns about going under general anesthesia even when they're in good health. certainly a generally healthy 73-year old man would not be at much higher risk of complications from general anesthesia than anyone else. however that doesn't matter because the individual has stated he doesn't want to go under general anesthesia. and you know what? that might be ok. depending on how bad the umbilical hernia is he might be able to have the procedure done under sedation -- much like what you get when you have a colonoscopy. it's enough iv medication to keep you comfortably drowsy but no breathing tube is involved and waking up generally is quick. the patient might also be able to have the umbilical hernia repaired under just local anesthesia (numbing injections to the area) if the hernia isn't too severe. i suggest the gentleman discuss his concerns with a surgeon. if one surgeon won't consider doing the repair under sedation or local anesthesia feel free to consult others. it may not sound logical but you might consider consulting a plastic and reconstructive surgeon because they have other tissue-numbing methods at their disposal that might work well for someone who's reluctant to undergo general anesthesia. i hope the gentleman gets his umbilical hernia repaired because it's usually a pretty straightforward procedure and his quality of life likely will be greatly improved afterwards. wishing you well!
can a reoccurred umbilical hernia be repaired surgically under local anesthsia on who has had prostatectomy in 1994. eldery man of 73 yrs and hypertensive but under good control and general physical state to under go surgery. had an acute attack with pain for the first time 2 days ago. dr massaged and was able to push it back giving relief to the patient. advised surgery to take place but under general anesthesia. patient reluctant to go under ga. what are the options? please advise. all info will be appreciated.