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The
use of mesh in hernia repair, risk management and the advantages of day
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However, as general
anaesthetic has improved there are still those who postulate on the
effects of hypoxia, fall in blood pressure and other changes which may
be associated with general anaesthesia – especially in the elderly.
These factors, together with increasing costs and the demand on hospital
beds means more and more surgery is performed under local anaesthesia
and in day care centres. Not all
medical personnel or the public are aware of the ease of hernia repair
using local anaesthesia. However some patients request local anaesthetic
because of a previous bad experience with general anaesthesia. The
majority leave these choices to their primary care practitioners and the
surgeon in charge of their case. The patient should not be bludgeoned
into this technique. Following explanation they usually agree. There are cases where general anaesthesia may be preferable –
children,
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