A Comparative Study of Hernioplasty Done Under Local And Spinal Anaesthesia in A Tertiary Care Centre
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Background: Surgical repair of inguinal hernia is one of the most commonly performed operations in general surgery worldwide. Hernia repair is commonly done under general or spinal anaesthesia but the advent of day care surgery has prompted renewned interest in the use of local anaesthesia for open hernia surgeries. Objectives: to compare the outcome of hernia repair done under spinal and local anaesthesia in relation to intra operative and post operative events. Materials and methods: We carried out a prospective study of 60 patients who were admitted with inguinal hernia. Patients were randomized into two groups of 30 each -the study group, group A (where local anesthesia was used) and the controll group, group B (where spinal anaesthesia was used ) by lottery method. Intraoperative and post-operative parameters were noted and all the data collected was annalysed by using the “Paired Student t test”. Results: in the study, local anaesthesia was found to be associated with less operating time, less post operative pain and hypotension, less urinary retension, early discharge, faster resumption of work and less overall cost. There was no difference with respect to nausea, vomiting, wound infection, seroma formation and intra operative complications like bradycardia. However, intra operative pain was noted in a few cases operated under local anaesthesia. Conclussion: tension free hernioplasty done under local anaesthesia is safe with very few complications ; cost effective with early return to activity and discharge, and ideal for day care surgery in regional as well as in teaching hospitals.
Authors and Affiliations
Najim Hiquemat, Hussain Ahmed
Keywords
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- EP ID EP595509
- DOI 10.9790/0853-1604091824.
- Views 43
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