A Randomized Control Prospective Comparative Study Of Lichtenstein Tension Free Hernioplasty Under Local Anaesthesia Versus Spinal Anaesthesia At Tertiary Care Health Centre, Bikaner
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 3
Abstract
Introduction: Lichtenstein carried out a series of laboratory & clinical investigations, comparing various prosthetic materials and, in 1991, reported that monofilament polypropylene stimulates a strong fibroblastic response throughout the interstices and also has a marked resistance to infection. Material and Methods: The Study was carried out in the Department of Surgery, PBM Hospital, Sardar Patel Medical College Bikaner during the 8 month period from January 2017 to 30 August 2017. A total 100 patients taken were divided into two random groups, one group (Group I) with hernia repair done under local anaesthesia and second group (Group II) Hernia repair done under spinal anaesthesia. Results : Cost of hernioplasty less in local anaesthesia group (mean 157.88±24.82 Rs.) as compared to spinal anaesthesia (mean 831.20±203.63 Rs.). Total operative time is less in local anaesthesia group 40.14±5.41 minutes as compared to spinal anaesthesia group 54.58±6.78 minutes. Conclusion : Overall, local anaesthesia was associated with less immediate post operative complication. No recurrences were noted during the study period. It is apparent from the study that local anesthesia is a better alternative to spinal anesthesia from short stay or day care surgery.
Authors and Affiliations
Mohd. Salim
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