INGUINAL HERNIA MESHPLASTY USING LOCAL ANAESTHESIA- CURRENT OPTIONS IN A RURAL HOSPITAL: A REVIEW OF 96 CASES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 30
Abstract
BACKGROUND Groin hernia is one of the most common surgical problems in male. Its treatment is always surgical if not contraindicated otherwise. For many years, inguinal hernia surgery has been carried out under general or spinal anaesthesia. But in recent years more and more emphasis is given on repair under local anaesthesia even when GA or SA is contraindicated. It is cost effective, only fear of intraoperative pain hinders its widespread use. OBJECTIVE To evaluate the feasibility, operative and postoperative complications of inguinal hernia mesh repair under local anaesthesia and its safety and effectiveness in a rural teaching hospital. METHODS This prospective study was carried out in a Surgical Dept. of a teaching rural hospital in Assam from Jan/2014 to Dec/2015 in total 96 male patients, irrespective of age groups from 20 yrs. to 75 yrs. Hernia direct or indirect and reducible, complete or incomplete were included. Exclusion criteria- Obstructed, irreducible, strangulated hernias excluded. All the standard procedure recommended for open technique with polypropylene mesh were followed, only hernia site were infiltrated with L/A. Patients were put under observation during intraop and postop. Pain, vomiting, hypotension, urinary retention and wound haematoma and total hospital stay. RESULTS Total 96 male patients were included in the study. Mean age was 46.2 yrs. Out of these 72 (75%) were I. I. Hernia variety and 24 (25%) were Direct variety. In our study, 23 (24%) patients had minor problems during intraop period. During postop period, 21 (21.8%) patients developed operative site pain. Haematoma was seen in 4 (4.1%) patients. CONCLUSION Tension-free meshplasty under L/A is simple, safe, cost-effective, very low rate of complications, quick recovery, early discharge from hospital and feasible alternative in a rural hospital.
Authors and Affiliations
Deori , Pranjit
Keywords
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- EP ID EP123327
- DOI 10.14260/jemds/2016/368
- Views 97
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