Local Anaesthesia versus Spinal Anaesthesia in Inguinal Hernia Surgery: A Comparative Study
Authors/Creators
- 1. Assistant Professor, Department of Surgery, Gujarat Adani Institute of Medical Sciences, Bhuj, Kutch, Gujarat, India
- 2. Associate Professor, Department of Anesthesia, Gujarat Adani Institute of Medical Sciences, Bhuj, Kutch, Gujarat, India
- 3. MBBS, Government Medical College, Baroda, Gujarat, India
Description
Background and Aim: Comparative studies on the recovery characteristics of local, general, and regional
anaesthesia indicate that local anaesthesia is optimal for day care surgery. The objective of this study was to
assess if using a local anesthetic approach is a viable substitute for spinal anaesthesia in hernia repair surgeries.
This assessment focused on factors such as operating circumstances, satisfaction of both the patient and surgeon,
postoperative pain management, and any potential consequences.
Material and Methods: The study was conducted in the surgical department, medical ward, and affiliated
hospital. A total of twenty-three individuals were evenly divided between Group A and Group B. Group A had
inguinal hernia mesh repairs under local anaesthesia, whereas group B received spinal anaesthesia. Group A
received local anaesthesia with 2% xylocaine with adrenaline at a dosage of 4-6 mg/kg (n=60). Group B
received spinal anaesthesia (SA) with a dosage of 0.3 mg/kg in adults and 0.4 mg/kg in children, using a 0.5%
bupivacaine solution. The group consisted of 60 participants.
Results: Out of the 56 individuals who had spinal anaesthesia, none reported any discomfort (VAS = 0) during
surgery. However, two cases each suffered mild and moderate pain. Regarding local anaesthesia, 12 cases
reported no discomfort (VAS = 0), 16 cases experienced mild pain (VAS 1-3), 24 cases had moderate pain
(VAS 4-6), and 8 cases suffered from severe pain (VAS >= 7).
Conclusion: Local anaesthesia is a viable and efficient approach for repairing inguinal hernias in adults. It is
comparable to spinal anaesthesia in terms of patient satisfaction regarding factors such as surgery duration, postoperative pain, complications associated with spinal anaesthesia, recovery from anaesthesia (early postoperative ambulation), and length of hospital stay
Abstract (English)
Background and Aim: Comparative studies on the recovery characteristics of local, general, and regional
anaesthesia indicate that local anaesthesia is optimal for day care surgery. The objective of this study was to
assess if using a local anesthetic approach is a viable substitute for spinal anaesthesia in hernia repair surgeries.
This assessment focused on factors such as operating circumstances, satisfaction of both the patient and surgeon,
postoperative pain management, and any potential consequences.
Material and Methods: The study was conducted in the surgical department, medical ward, and affiliated
hospital. A total of twenty-three individuals were evenly divided between Group A and Group B. Group A had
inguinal hernia mesh repairs under local anaesthesia, whereas group B received spinal anaesthesia. Group A
received local anaesthesia with 2% xylocaine with adrenaline at a dosage of 4-6 mg/kg (n=60). Group B
received spinal anaesthesia (SA) with a dosage of 0.3 mg/kg in adults and 0.4 mg/kg in children, using a 0.5%
bupivacaine solution. The group consisted of 60 participants.
Results: Out of the 56 individuals who had spinal anaesthesia, none reported any discomfort (VAS = 0) during
surgery. However, two cases each suffered mild and moderate pain. Regarding local anaesthesia, 12 cases
reported no discomfort (VAS = 0), 16 cases experienced mild pain (VAS 1-3), 24 cases had moderate pain
(VAS 4-6), and 8 cases suffered from severe pain (VAS >= 7).
Conclusion: Local anaesthesia is a viable and efficient approach for repairing inguinal hernias in adults. It is
comparable to spinal anaesthesia in terms of patient satisfaction regarding factors such as surgery duration, postoperative pain, complications associated with spinal anaesthesia, recovery from anaesthesia (early postoperative ambulation), and length of hospital stay
Files
IJCPR,Vol16,Issue4,Article8.pdf
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Additional details
Dates
- Accepted
-
2024-03-28