J Graux, M Lemoine, P Gaillard, V Camus
[Cenesthopathies: a disorder of background emotions at the crossroads of the cognitive sciences and phenomenology]
L'Encephale
pediatric inguinal hernia repair ihr increasingly performed using minimally invasive surgery mis recently described using caudal block without endotracheal intubation evaluated surgical outcomes resource utilization infants undergoing hernia repair comparing operative approach openmis anesthetic technique general anesthesia gacaudal infants 1 yearofage undergoing elective ihr without concomitant procedures july 2016 july 2021 single tertiary care teaching center retrospectively reviewed eight surgeons 25 anesthesiologists contributed patients approach dictated practitioner preference data collected included patient demographics surgical anesthetic details operating room utilization metrics postoperative complications evaluated aggregated including recurrent hernia metachronous hernia hematoma hydrocele testicular atrophy acquired cryptorchidism descriptive statistics performed r studios p 005 338 patients included analysis underwent open procedure n 275 anesthetic technique evenly split ga n 185 caudal n 153 patients male 876 born premature mean gestational age 314 41 weeks mistoopen conversion noted 33 ga mis group none caudal median follow 25 1438 years differences noted aggregate surgical complication rates p 04 caudal open group shortest total time p 001 caudal anesthesia shortened postprocedure times p 001 mis ihr performed caudal block sedation yields comparable complication rates compared open approach ga open ihr caudal blockade efficient operative room utilization original article clinical research level iii