Inguinal hernia repair in local anaesthesia; Experience of a tertiary care hospital.

Autor: Zubair, Rabbia, Shafqatullah, Syed Muhammad, Wasim, Mehmooda, Rasul, Shahid, Iftikhar, Javeria, Ahmed, Hassan, Khan, Naveed
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Zdroj: Pakistan Journal of Surgery; Apr-Jun2016, Vol. 32 Issue 2, p75-80, 6p
Abstrakt: To compare mean postoperative groin pain in local anesthesia v/s spinal anesthesia in patients undergoing inguinal hernia repair. Study Design: Randomized control trial. Place and duration of study: The study was conducted at Department of General Surgery, JPMC From 6th September 2014 to 5th March 2015. Material and Methods: Total 140 patients who were diagnosed as having inguinal hernia were included in the study. Patients were randomly allocated to two groups, Group A (local anesthesia) and Group B (spinal anesthesia). All patients were received the standard flat mesh repair. Patients were discharged in the same evening and followed up in OPD at 1st, 8th, and 30th days after surgery and assessed for intensity of pain at rest. Final outcome was assessed at day 30th. Data was analyzed using SPSS version 21.0. Results: The overall mean age of study subjects was 42.91±10.64 years, with range of 41(19-60) years. In local anesthesia group the mean groin pain at day-1 was 0.83±0.38, at day-8 it was 0.66±0.47, and at day-30 it was 0.09±0.28. In spinal anesthesia group the mean groin pain at day-1 was 1.20±0.43, at day-8 it was 0.96±0.20, and at day-30 it was 0.40±0.49. In local anesthesia group the mean groin pain in indirect inguinal hernia was 0.08±0.27 and 0.10±0.30 in direct inguinal hernia. In spinal anesthesia group the mean groin pain in indirect inguinal hernia was 0.43±0.50 and 0.25±0.45 in direct inguinal hernia. Conclusion: In conclusion, it can be suggested that Inguinal hernia repair under local anesthesia is safe, simple, effective, economical, less post operative complications and long postoperative analgesia. [ABSTRACT FROM AUTHOR]
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