IJAR - Indian Journal of Applied Research

Dr. Inturi Ravi Mohan; Dr. B Krishna Sing Naik

Volume : VI, Issue : XII, December - 2016

Segmental Epidural Anaestesia for inguinal Hernia Repair an alternate to sub arachnoid block.

Dr. Inturi Ravi Mohan, Dr. B Krishna Sing Naik

Abstract :

Background: Inguinal hernia repair is one of the most commonly encountered surgical corrections in men worldwide. Epiduralanaesthesia is widely used for these surgeries. As inguinal hernia is usually seen in elderly age group, so as to avoid or reduce the complications which could occur in the conventional dosages this clinical study of segmental epidural anaesthesia was undertaken where the extent of block is limited to only few segments involved in the field of surgery. AIMS AND OBJECTIVES: This study is undertaken to evaluate the advantages of segmental epidural anaesthesia for inguinal hernia repair. To reduce the conventional dosage of epidural anaesthesia to block only the segments involved in the field of surgery, hemodynamic effects and to minimise the complications, which could occur in conventional dosage. METHOD : A clinical study was undertaken for anaesthetising 100 patients aged between 18–70 years posted for elective inguinal hernia repair, agreeing and co–operative for epidural anesthesia. RESULTS: In the present study, the mean onset of analgesia was 8.08 minutes. The quality of analgesia was excellent in 53 cases, good in 34 cases, fair in 10cases and poor in 3 cases. The mean duration of analgesia was 167.42 minutes (120 min to 240 min). All patients were haemodynamically stable throughout the surgery. Shivering was seen in 5 cases and sweating in 9 cases. INTERPRETATION AND CONCLUSION: Segmental epidural block with 5–6 ml of 0.5% Bupivacaine is found to be safe and fulfils the surgical requirement. Could besuccessfully employed for inguinal hernia repair with limited spread of analgesiainvolving only few segments. Fall in blood pressure and other complications were very minimal. This technique can be safely used in elderly patients. ABSTRACT