A prospective comparative study of Lichtenstein’s mesh hernioplasty performed under local and spinal anesthesia

Authors

  • Pradeep Saxena Department of Surgery, Gandhi Medical College, Bhopal, MP
  • Saurabh Saxena Department of Surgery, Gandhi Medical College, Bhopal, MP

DOI:

https://doi.org/10.18203/2349-2902.isj20162733

Keywords:

Tension-free hernioplasty, Open tension-free mesh technique, Mesh hernioplasty, Hernia mesh surgery, Open hernia repair, Inguinal hernia surgery, Lichtenstein hernioplasty, Hernioplasty under local anesthesia, Day care inguinal hernia repair, Ambulatory h

Abstract

Background:The present study was designed to compare Lichtenstein’s hernioplasty performed under local anesthesia and spinal anesthesia in terms of intra operative and short term post-operative events.

Methods: In this study total 244 adult patients (236 male & 8 female) of primary uncomplicated unilateral inguinal hernia operated for open tension free mesh hernioplasty were included. 114 patients were operated under local anesthesia and 130 under spinal anesthesia. The two groups were compared for intra operative & short term (30 days) post-operative events, hospital stay and return to activity.

Results:The two groups were similar in terms of intra operative events like nausea, vomiting, hypotension & arrhythmias. Local wound complications like edema, ecchymosis, infection and seroma formation were comparable in both groups and clinically insignificant. However there was advantage for the local anesthesia group in terms of less post-operative pain, less anesthesia related complications, less urinary retention, faster discharge from hospital, faster return to activity and lesser cost of treatment.

Conclusions:The study comparing local anesthesia with spinal anesthesia showed advantage for the local anesthesia group in terms of less post-operative pain, less anesthesia related complications, less urinary retention, faster discharge from hospital, faster return to activity and lesser cost of treatment. Thus open inguinal hernioplasty performed under local anesthesia is well suited for our smaller community-based, regional, and teaching hospitals.

 

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Published

2016-12-09

Issue

Section

Original Research Articles