Efficacy of Pain Management and Safety of Tumescent Local Anesthesia Compared to Regional Anesthesia in Groin Hernias: A Literature Review

Keywords: Inguinal hernioplasty, tumescent local anesthesia, regional block, postoperative pain, cost-effectiveness. Abstract: Tumescent local anesthesia (TLA) has emerged as a promising option for pain management in open inguinal hernioplasty. This review analyzes the efficacy and safety of TLA compared to regional block, covering studies published between 2019 and 2024. Findings suggest that TLA provides effective postoperative pain control, with up to 80% of patients requiring no additional analgesics, and presents a low complication rate. Furthermore, TLA is more cost-effective and associated with fewer adverse effects, particularly in elderly populations. Implementing this technique could transform standards of care in inguinal surgery, although further studies are needed to investigate pain perception and long-term effectiveness. This work underscores the importance of interdisciplinary collaboration in pain management to enhance patient experience.