Volume : V, Issue : XII, December - 2016

Comparative Study of Outcomes of Inguinal Hernia Repair under Local and Spinal Anaesthesia

Dr. Saurabh Agrawal, Dr. Srinivas Pai

Abstract :

 Background: Inguinal hernias are the commonest of all hernias and adult inguinal herniorrhaphy accounts for 15% of operation in general surgery. Local anaesthesia can be considered for hernia repair operations, in the areas where lack of trained personal and anaesthesia facilities are not available as well as to minimize the hospital stay and reduce economic burden, provided its effectiveness is found. Aim of the study was to look at the effectiveness of local anaesthesia in comparison to spinal anaesthesia in primary uncomplicated inguinal hernia repair surgery by measuring intra operative and postoperative pain and postoperative complication. And also to check the feasibility of using local anaesthesia for short stays surgery. Material &Methods : Sixty patients with primary uncomplicated inguinal hernia admitted in department of general surgery, SDM College Of Medical Sciences and Hospital, Dharwad during the study period from November 2012 to October 2014 were randomized to group A and group B. In group A local anaesthesia was used and in group B spinal anaesthesiawas used to do hernioplasty. Both groups are compared for intra operative and postoperative pain and intra operative and postoperative complication. Results: Both local & spinal anaesthesia can be used for hernia repair on short stay basis, but spinal anaesthesia has higher complication rates compared to local anaesthesia. ?ere is significant increase in general complications like hypotension, urinary retention, adycardia, nausea/vomiting and headache in spinal anaesthesia. Local complications like seroma, hematoma and wound infection were similar in both groups. Conclusion: Local anaesthesia has less immediate post–operative complication, with significant number of patients being ambulant at 2hrs post–surgery, best suitable for short stay surgery when compared to spinal anaesthesia. ?ere is less post–op hospital stay and lesser complication with high patient acceptability. When short stay service is implemented there will be considerable savings to hospital service and to the patients

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Saurabh Agrawal, Dr. Srinivas Pai, Comparative Study of Outcomes of Inguinal Hernia Repair under Local and Spinal Anaesthesia, International Journal of Scientific Research, Volume : 5 | Issue : 12 |December 2016

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