Could local anesthesia be better for older hernia patients? a new study investigates.
NCT ID NCT04706026
First seen Jun 27, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This pilot study is testing whether local anesthesia (with sedation) works as well as general anesthesia for inguinal hernia repair in veterans aged 60 and older. The goal is to gather data to plan a larger, more definitive trial. About 80 participants will be followed for 6 months after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Local anesthesia (lidocaine with epinephrine and Marcaine) with sedation vs general anesthesia
- What this could lead to
- If successful, this pilot could lead to a larger trial that helps determine whether local anesthesia is a better option for older adults undergoing hernia repair.
- What could go wrong
- This is a small pilot study (80 people) focused on feasibility, not on proving which anesthesia is better. Results may not apply to all older adults or hernia types.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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18 people
The number who actually took part.
- Started
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Oct 2024
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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60 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age greater than or equal to 60 years * Presenting to clinic with a unilateral inguinal hernia that is not incarcerated * Considered suitable for either general or local anesthesia * Willing to complete all study requirements, including follow-up continuing until six months after surgery * English speaking Exclusion Criteria: * The hernia that the patient is being evaluated for has undergone prior repair * Any contraindications to general anesthesia * Allergies to local anesthesia * Evidence of hernia incarceration or strangulation * Active local or systemic infection that would preclude the use of mesh for hernia repair * Need for concurrent surgical repair at the time of hernia repair * English is not the patient's primary language * Enrollment in other research studies * Clinical judgement of surgeon or anesthesiology * Current pregnancy * Unwilling to provide consent * Current active illegal drug use * Current alcoholism * Claustrophobia * Unable to tolerate lying in supine position for greater than 30 minutes
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Baylor College of Medicine
Houston, Texas, 77030, United States
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University of Texas Southwestern Medical Center
Dallas, Texas, 75390, United States
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University of Wisconsin
Madison, Wisconsin, 53705, United States
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