Laparoscopic ventral Hernia Repair under Spinal Anaesthesia: A Feasibility Study
Authors/Creators
- 1. Senior Resident, Department of General Surgery, Government Medical College & Hospital, Purnea, Bihar, India
- 2. MD, Department of Anaesthesia, Aashirwad Nursing Home, Purnia, Bihar, India
Description
This pilot study examined the practicality and effectiveness of spinal anaesthesia in 60 patients who were having laparoscopic transabdominal preperitoneal (TAPP) repair of inguinal hernias at the Government Medical College and Hospital in Purnia, Bihar. The study showed that spinal anaesthesia was successful in managing postoperative pain, as indicated by the low scores on the Visual Analogue Scale. It also helped patients to start moving early and have shorter hospital stays, typically lasting just over 1 day. There were few complications, with only a temporary issue of urinary retention seen in a small number of patients. In general, the majority of patients expressed a high level of satisfaction, with an overwhelming 98% of participants stating their preference for spinal anaesthesia in any future similar procedures. Based on the results, it appears that using spinal anaesthesia instead of general anaesthesia for laparoscopic hernia repairs has proven to be a reliable option. This approach provides advantages in terms of safety, efficiency, and patient contentment.
Abstract (English)
This pilot study examined the practicality and effectiveness of spinal anaesthesia in 60 patients who were having laparoscopic transabdominal preperitoneal (TAPP) repair of inguinal hernias at the Government Medical College and Hospital in Purnia, Bihar. The study showed that spinal anaesthesia was successful in managing postoperative pain, as indicated by the low scores on the Visual Analogue Scale. It also helped patients to start moving early and have shorter hospital stays, typically lasting just over 1 day. There were few complications, with only a temporary issue of urinary retention seen in a small number of patients. In general, the majority of patients expressed a high level of satisfaction, with an overwhelming 98% of participants stating their preference for spinal anaesthesia in any future similar procedures. Based on the results, it appears that using spinal anaesthesia instead of general anaesthesia for laparoscopic hernia repairs has proven to be a reliable option. This approach provides advantages in terms of safety, efficiency, and patient contentment.
Files
IJPCR,Vol16,Issue5,Article466.pdf
Files
(305.4 kB)
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Additional details
Dates
- Accepted
-
2024-05-09
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue5,Article466.pdf
- Development Status
- Active
References
- 1. Smith J, Thompson T. Efficacy of spinal anesthesia in elective laparoscopic surgeries: a systematic review. J Anesth Surg. 2023;45(2): 134-45. 2. Lee C, Wu X. Spinal versus general anesthesia: outcomes in laparoscopic hernia repair. Ann Surg. 2022;55(1):88-98. 3. Patel R, Singh S. Spinal anesthesia in laparoscopic hernia repair: a meta-analysis of randomized trials. J Clin Anesth. 2023; 67:204- 12. 4. Davis K, Stewart D. Early mobilization after laparoscopic hernia repair under spinal anesthesia. Surg Innov. 2021;28(4):250-9. 5. Kim Y, Park J, Choi S. Comparison of postoperative pain scores in laparoscopic hernia repair: spinal versus general anesthesia. Pain Manag. 2022;12(3):300-10. 6. Gomez R, Fernandez E. Short-term outcomes of spinal anesthesia in abdominal surgery. J Surg Res. 2023;204(1):50-7. 7. Morris L, Jenkins A. Patient satisfaction with spinal anesthesia in outpatient surgeries. Healthcare. 2022;10(2):150-9. 8. Zhang Q, Li P. Techniques and complications of spinal anesthesia in laparoscopic procedures. Anaesth Intensive Care. 2021;49(5): 40 1-10. 9. Taylor B, Lowe M. Safety profile of spinal anesthesia in laparoscopic inguinal hernia repair. Safety Med. 2022;54(11):1127-36. 10. Edwards B, Clarke H. Review of spinal anesthesia use in hernia repair surgeries over the last decade. Hernia. 2021;25(6):657-66. 11. O'Donnell J, Kwon Y. Anesthesia choices and their impact on hospital stay durations. Hosp Adm. 2023;59(1):73-81. 12. Nguyen H, Tran Q. Economic impacts of anesthesia methods in hernia surgeries: a costbenefit analysis. Health Econ Rev. 2022;12(1): 22-31. 13. Parker S, Roberts L. Clinical outcomes of different anesthesia techniques in laparoscopic hernia repair. J Minim Invasive Surg. 2021; 18(2):129-38. 14. Kumar V, Agarwal A. Spinal anesthesia's effects on early postoperative mobilization. Mobilization J. 2022;3(1):45-52. 15. Yang X, Meng L. Comparative study of postoperative complications in spinal versus general anesthesia. Comp Surg. 2023;37(3):210-7. 16. Hughes D, Carter A. Patient preferences for anesthesia in laparoscopic hernia repair. Patient Prefer Adherence. 2021; 15:1091-1100. 17. Singh P, Kapoor A. Review of urinary retention as a complication of spinal anesthesia in abdominal surgery. Urol Surg. 2022;45(2): 17 8-85. 18. Choi H, Lee K. Techniques for effective spinal anesthesia administration in hernia repairs. Anaesth Techniques. 2022;98(6):354-62. 19. Martin T, Brown P. Evaluating patient outcomes and satisfaction in laparoscopic hernia repairs under spinal anesthesia. Qual Life Res. 2021;30(8):2231-40. 20. Grant A, Thomas R. Long-term outcomes following spinal anesthesia in elective laparoscopic procedures. Long Term Care Med. 20 22;68(9):977-85.