COMPARISON OF LOCAL VERSUS SPINAL ANAESTHESIA IN INGUINAL HERNIA REPAIR

Dharmpal Godara,Mamta Choudhary

doi:10.32553/ijmbs.v5i8.2137

Dharmpal Godara, Mamta Choudhary

Open Access

https://doi.org/10.32553/ijmbs.v5i8.2137

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Abstract

Background: To determine whether local anaesthetic technique is an acceptable alternative to spinal anaesthesia for hernia repair, especially with regards to operative conditions, postoperative pain relief and complications. Methods: This was a prospective randomized clinical study consisting of 100 patients. The patients posted for tension free lichtenstein elective hernioplasty were allocated to either of two groups, group A (n=50) were given local anaesthesia and patients in group B (n=50) were given spinal anaesthesia. Results: There was no demographic difference between the two groups. Time taken in local anesthesia was higher than spinal anesthesia. Intraoperative pain was higher in local anesthesia than spinal anesthesia. Conclusions: We concluded that local anaesthesia can be a preferred method in day-case hernia surgeries owing to its advantages of ease of administration and less complications. Keywords: Day-case surgery, Inguinal hernia, Local anaesthesia, Spinal anaesthesia

Highlights

Inguinal hernia repair is one of the most commonly performed operations world-wide, can be done under general anaesthesia, spinal or epidural anaesthesia and local anaesthesia depending upon a variety of factors viz. surgeon’s wish, patient’s acceptance, safety, feasibility and cost, etc. 1 Recently there has been revival in the use of local anaesthetic technique for hernioplasty.Patient safety should be the paramount factor in choosing the type of anesthesia
The present study was designed to determine whether local anaesthetic technique is an acceptable alternative to spinal anaesthesia for hernia repair, especially with regard to operative conditions, patient’s and surgeon’s satisfaction, postoperative pain relief as well as complications
Patients with local anaesthesia (LA) had more pain intraoperatively as compared to group who received spinal anaesthesia (SA). This can be attributed to the fact that pain during operation is felt in case of large hernia operated under local anesthesia, if dissection is difficult due to adhesions of the sac.[6]

Summary

Introduction

Inguinal hernia repair is one of the most commonly performed operations world-wide, can be done under general anaesthesia, spinal or epidural anaesthesia and local anaesthesia depending upon a variety of factors viz. surgeon’s wish, patient’s acceptance, safety, feasibility and cost, etc. 1 Recently there has been revival in the use of local anaesthetic technique for hernioplasty.Patient safety should be the paramount factor in choosing the type of anesthesia. General or spinal anesthesia are still the most common types of anesthesia being used in India.[2] Studies comparing the recovery profiles of local, general and regional anesthesia show that local anesthesia is ideal for day care surgery.[3] The present study was designed to determine whether local anaesthetic technique is an acceptable alternative to spinal anaesthesia for hernia repair, especially with regard to operative conditions, patient’s and surgeon’s satisfaction, postoperative pain relief as well as complications. To determine whether local anaesthetic technique is an acceptable alternative to spinal anaesthesia for hernia repair, especially with regards to operative conditions, postoperative pain relief and complications. Conclusions: We concluded that local anaesthesia can be a preferred method in day-case hernia surgeries owing to its advantages of ease of administration and less complications.

Methods

Discussion

Conclusion