Patient Satisfaction Stratification in Inguinal Hernia Surgery Under Local Anesthesia –Experience of 650 Patients

Abstract

Aim: To evaluate patient satisfaction undergoing inguinal hernia surgery under local anesthesia. Methods: The study was conducted in Jinnah hospital, Lahore from 2014 to 2019 including 650 clinically diagnosed patients with direct or indirect inguinal hernia with age ranging 20 to 60 years. All of these patients were operated in dedicated day care operation-theater of surgical department, where hernia surgeries under local anesthesia were done on daily basis 6 days a week. We assessed satisfaction in all patients undergoing inguinal hernia surgery with monitoring during anesthesia care known as iowa satisfaction with small anesthesia scale. Results: 80% of patients were between 20 to 45 years of age with male to female ratio 99: Right inguinal hernia patients were 55% and 45% with left inguinal hernia. In the proforma of 11 questionnaire, 96 % patients were found satisfied with the quality of anesthesia care with varying satisfactions ranging above 90 % regarding pain, feeling like throwing up, feeling relaxed as well as feeling hurt. Conclusion: Inguinal hernia surgery under local anesthesia is found profoundly satisfactory with regard to anesthetic care. Local anesthesia hernial surgery has satisfactory patient acceptability similar to those observed in a conventional regional/general anesthesia in tertiary care setup. Keywords: Inguinal hernia, local anaesthesia, satisfaction