Clinical demonstration of the features of anesthetic management of total extraperitoneal inguinal hernioplasty

Due to the prevalence of inguinal hernias, especially in males of working age, early rehabilitation of patients after surgical treatment of hernias is an urgent problem. Currently, anesthetic management, taking into account the technical features of minimally invasive videoendoscopic surgical interventions for abdominal hernias, should be gentle, controllable, safe and provide surgeons with maximum comfort, as well as create conditions for early rehabilitation of patients. General multicomponent low-flow inhalation anesthesia with bispectral monitoring of anesthesia and monitoring of neuromuscular block fully meets all these requirements. Clinical demonstration. The article provides a clinical demonstration of anesthetic management of total extraperitoneal inguinal hernioplasty (TEPIH) with a mesh endoprosthesis, in foreign literature - Totally Extraperitoneal (TEP), using videoendoscopic technologies in a 62-year-old patient with an inguinal hernia, a modern approach to pain relief, pain control and perioperative management is presented, the advantages of general multicomponent low-flow inhalation anesthesia using bispectral monitoring of the depth of anesthesia and monitoring of neuromuscular block are shown. All this together has allowed us to achieve optimal results of surgical treatment of the patient, early recovery and reduction of the duration of inpatient treatment. Conclusion. The clinical case presented in the article has shown that anesthetic support of the TEP operation with a mesh endoprosthesis with monitoring of the depth of anesthesia and neuromuscular conduction was gentle, controllable, which ensured a favorable course of the operation and the immediate postoperative period, and also contributed to the early rehabilitation of the patient.