A Comparative Study of Hernioplasty Done Under Local And Spinal Anaesthesia in A Tertiary Care Centre
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Background: Surgical repair of inguinal hernia is one of the most commonly performed operations in general surgery worldwide. Hernia repair is commonly done under general or spinal anaesthesia but the advent of day care surgery has prompted renewned interest in the use of local anaesthesia for open hernia surgeries. Objectives: to compare the outcome of hernia repair done under spinal and local anaesthesia in relation to intra operative and post operative events. Materials and methods: We carried out a prospective study of 60 patients who were admitted with inguinal hernia. Patients were randomized into two groups of 30 each -the study group, group A (where local anesthesia was used) and the controll group, group B (where spinal anaesthesia was used ) by lottery method. Intraoperative and post-operative parameters were noted and all the data collected was annalysed by using the “Paired Student t test”. Results: in the study, local anaesthesia was found to be associated with less operating time, less post operative pain and hypotension, less urinary retension, early discharge, faster resumption of work and less overall cost. There was no difference with respect to nausea, vomiting, wound infection, seroma formation and intra operative complications like bradycardia. However, intra operative pain was noted in a few cases operated under local anaesthesia. Conclussion: tension free hernioplasty done under local anaesthesia is safe with very few complications ; cost effective with early return to activity and discharge, and ideal for day care surgery in regional as well as in teaching hospitals.
Authors and Affiliations
Najim Hiquemat, Hussain Ahmed
Keywords
Related Articles
- EP ID EP595509
- DOI 10.9790/0853-1604091824.
- Views 65
- Downloads 0
Role of elective laparoscopic appendicectomy for chronic right lower quadrant abdominal pain
Backround : Chronic right lower quadrant abdominal pain is still a diagnostic challenge. When other pathologies are ruled out and conservative modalities fail, elective laparoscopic appendicectomy has got a definitive ro...
Granular cell ameloblastoma in a case of recurrent follicular ameloblastoma
Ameloblastoma is an epithelial odontogenic tumor which is locally aggressive and has tendency to recur. Granular cell ameloblastoma is a histological variant of ameloblastoma which occurs along with other histological va...
Obstetric General Service Readiness in the Primary Healthcare setting in Ogoniland, Niger Delta, Nigeria.
Background:New scientific interventions and financial commitments have been introduced in Primary Health Centres PHCs in Nigeria and women are encouraged to give birth in the centres with a view of reducing maternal and...
A Rare case report of Vaginoplasty using amnion graft:
Vaginal agenesis is congenital anomaly of female genital tract. It is estimated to occur in 1 in 4000- 5000 live births.In our case an unmarried girl presented to us with amenorrhoea her vaginoplasty was done using amnio...
Cholelithiasis induced Metaplasia in post cholecystectomy specimen : A Tertiary Care Study.
Cholelithiasis is derived from Greek word ‘ chol’ means bile ,lith means stone and iasis means process.cholelithiasis is civilization disease and accounts for 10-15%. Epithelial exposure to harmful toxin both exogenous a...