A Prospective comparative study of local anaesthesia & spinal anaesthesia for lichtenstein hernioplasty in a tertiary care hospital

Subramanian, Jegan Mohan and Kishanchand, Chethan and Pai, Megha and Shenoy, Rajgopal (2015) A Prospective comparative study of local anaesthesia & spinal anaesthesia for lichtenstein hernioplasty in a tertiary care hospital. IOSR Journal of Dental and Medical Sciences, 14 (11). pp. 47-51. ISSN 2279-0861

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Abstract

Background: Lichtenstein hernioplasty, a tension-free inguinal hernia repair using polypropylene mesh under local anesthesia has become the “gold standard” in the treatment of uncomplicated inguinal hernia repair.Ourstudy is a prospective study to compare effectiveness of local and spinal anaesthesia for Lichtenstein hernioplasty. Material & Methods:74 patients admitted to the hospital with the diagnosis of uncomplicated inguinal hernia were included in the study.36 patients underwent surgery under local anaesthesia and 38 under spinal anaesthesia. Both groups were compared for intraoperative, immediate post-operative, & delayed postoperative complication. Place of study: Kasturba Medical College & Hospital, Manipal, Karnataka, India. Results: It was observed that Lichtenstein hernioplasty done under local anaesthesia offers following advantages over spinal anaesthesia: Shorter time in operating room, less incidence of intra operative hypotension, post operative nausea & vomiting, headache, urinary retention and need for catheterization, less postop pain, early ambulation, faster recovery and early return to normal work. Conclusion: Our study concluded that local anaesthesia may be considered as the anaesthesia of choice for Lichtenstein hernioplasty for an uncomplicated, primary, inguinal hernia.

Item Type: Article
Uncontrolled Keywords: Inguinal hernia; Lichtenstein hernioplasty; Local anaesthesia; Spinal anaesthesia; complications.
Subjects: Medicine > KMC Manipal > Medicine
Medicine > KMC Manipal > Surgery
Depositing User: KMC Library
Date Deposited: 22 Mar 2017 10:55
Last Modified: 22 Mar 2017 10:55
URI: http://eprints.manipal.edu/id/eprint/148542

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