Total extraperitoneal inguinal hernia repair (TEP-IHR) can result in significant patient discomfort in the immediate postoperative period. In a randomized clinical trial by Sakamoto et al, 75 patients received a transversus abdominis plane block, preperitoneal instillation of local anesthetic, or no regional technique. The results of the Quality of Recovery–40 questionnaire demonstrated that preperitoneal instillation of local anesthetic with dexamethasone provided patients with improved quality of recovery 24 hours postoperatively.
Highlights. JAMA Surg. 2016;151(12):1097. doi:10.1001/jamasurg.2015.2958