A clinical study: Inguinal hernia repair under local block

Abstract

This study was conducted to evaluate advantages of local anaesthesia in high risk patients and to assess patient’s satisfaction, speed of recovery and postoperative analgesia. In our study we gave combined Ilioinguinal and Iliohypogastric nerve block with field block in 30 patients. The patients were monitored for hemodynamic changes and total duration of analgesia and quality of analgesia. In this study 23% patients were of ASA I, 30% ASA II and 46.7% had ASA III grade. All patients were hemodynamically stable throughout procedure and surgery. Average duration of the analgesia was 188 min (about 3 hours). Quality of analgesia was excellent in 66.6% patients, good in 16.6% patients, poor in 6.6% patients and 10%patients had severe intolerable pain and converted to GA. We found that inguinal hernia repair under local anaesthesia was safe, simple, cost-effective and also provides good postoperative analgesia. It is more useful in high risk patients where we need to avoid effects of general, spinal or epidural anaesthesia for hernia surgeries.