Inguinal hernia repair under regional anaesthesia versus local anaesthesia: a comparative study

Keshav Y V Prasad,Srirama M Bhat,Abhishek Ganguly,Bhargav A N Vyas,Shivaprasad B K Rai

doi:10.4038/sljs.v39i3.8860

Keshav Y V Prasad, Srirama M Bhat + Show 3 more

Open Access

https://doi.org/10.4038/sljs.v39i3.8860

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Abstract

IntroductionThis study aims to compare Lichenstein's repair performed under regional anaesthesia and local anaesthesia. MethodsThis prospective study included two groups of 31 patients each with an uncomplicated inguinal hernia from surgical units of KMC affiliated hospitals. All patients underwent Lichenstein's tension-free repair either under spinal anaesthesia (group 1) or under local anaesthesia (group 2). Results from both groups were compiled and analysed. ResultsMean age was 50.45 (SD 16.49) in group 1 and 50.61 (SD 12.04) in group 2. Median time taken for surgery was less under local anaesthesia (1.17 versus 1.5 hours). Postoperative pain was less in the local anaesthesia group at 24, 48 hours after surgery, and after 2 weeks of discharge. Group 1 had higher cases of urinary retention. ConclusionLichenstein's repair under local anaesthesia was better concerning post-operative pain, complications and hospital stay.

Highlights

Introduction This study aims to compareLichenstein's repair performed under regional anaesthesia and local anaesthesia
Median time taken for surgery was less under local anaesthesia (1.17 versus 1.5 hours)
Postoperative pain was less in the local anaesthesia group at 24, 48 hours after surgery, and after 2 weeks of discharge

Summary

Introduction

Lichenstein's repair performed under regional anaesthesia and local anaesthesia. Hernia is defined as an abnormal protrusion of an organ or tissue through a defect in its surrounding walls" [1]. Inguinal hernia is treated by open or laparoscopic surgery. Lichtenstein repair is an open tension-free repair technique using prosthetic mesh [1]. It can be done under general anaesthesia or regional anaesthesia or local anaesthesia [2,3]. Local anaesthesia has gained popularity among surgeons as it results in better satisfaction rates and improves

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