My father has stage IV CHF with an EF of 15% and a very painful inguinal hernia. Any suggestions?
He might be a candidate for inguinal hernia repair under straight local anesthesia. Your father has no reserve cardiac function. Stressing the heart further or giving any medications such as general anesthetic will depress cardiac function beyond his hearts ability to function. Even surgery under local anesthetic would be dangerous for him. The actual answer to your question will depend on what his cardiologist says, how obese he is and how big the hernia is.