A case report of the laparoscopic repair of bilateral inguinal hernias
performed under local anesthesia with intravenous sedation is present
ed. The combination of nitrous oxide for peritoneal insufflation and a
n ultrasonically activated scalpel for dissection made the procedure f
easible. It is hoped that this technique can extend laparoscopic surge
ry to patients who are poor candidates for general anesthesia.