A COMPARATIVE STUDY OF TENSION FREE MESH HERNIA REPAIR DONE UNDER LOCAL ANAESTHESIA VERSUS REGIONAL ANAESTHESIA
VV Kamat, A Chandran - Journal of Evolution of Medical and Dental …, 2019 - go.gale.com
VV Kamat, A Chandran
Journal of Evolution of Medical and Dental Sciences, 2019•go.gale.comBACKGROUND Hernias are among the oldest known afflictions known to mankind and
elective inguinal hernia repair is one of the most common operations performed by general
surgeons.[1] Two thirds of these are indirect and the remainder are direct inguinal hernias.
Femoral hernias comprise only 3% of all groin hernias. Men are 25 times more likely to have
a groin hernia than women. An indirect inguinal hernia is the most common hernia,
regardless of gender.[1, 2] MATERIALS AND METHODS The study was a non-randomized …
elective inguinal hernia repair is one of the most common operations performed by general
surgeons.[1] Two thirds of these are indirect and the remainder are direct inguinal hernias.
Femoral hernias comprise only 3% of all groin hernias. Men are 25 times more likely to have
a groin hernia than women. An indirect inguinal hernia is the most common hernia,
regardless of gender.[1, 2] MATERIALS AND METHODS The study was a non-randomized …
Abstract
BACKGROUND
Hernias are among the oldest known afflictions known to mankind and elective inguinal hernia repair is one of the most common operations performed by general surgeons.[1] Two thirds of these are indirect and the remainder are direct inguinal hernias. Femoral hernias comprise only 3% of all groin hernias. Men are 25 times more likely to have a groin hernia than women. An indirect inguinal hernia is the most common hernia, regardless of gender.[1, 2]
MATERIALS AND METHODS
The study was a non-randomized controlled trial study conducted between October 2015 and November 2017 at a medical college hospital. Sample size was taken for convenience.
RESULTS
Both local & spinal anaesthesia can be used for hernia repair on short stay bases, but spinal anaesthesia has higher complication rates compared to local anaesthesia. There is significant increase in general complications like hypotension, urinary retention, & headache in spinal anaesthesia & local complications like seroma, hematoma, scrotal oedema & recurrence were similar in both groups.
CONCLUSION
Both local & spinal anaesthesia can be used for hernia repair on short stay bases, but spinal anaesthesia has higher complication rates compared to local anaesthesia. Local anaesthesia is with less immediate post-operative complication, best suitable for short stay surgery when compared to spinal anaesthesia.
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