Hydrocoele Surgery Under Local Anesthesia: Practical Or Painful
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Background: Vaginal hydrocoele is abnormal collection of serous fluid in the tunica vaginalis or a patent processus vaginalis. It is one of the common causes of scrotal swellings in all age group and frequently encountered in surgery OPD. It often requires surgical treatment. However in our setting and in many developing and underdeveloped countries, availability of general anesthetic services is poor due to lack of trained personnel and equipments. Hence hydrocoele surgery is mostly done under local anesthesia. Objectives: To ascertain the practicability and acceptability of hydrocoele surgery under local anesthesia. Methods: A prospective study was carried out on patients undergoing hydrocoele surgery at the surgery units of Rajendra Institute of Medical Sciences (RIMS), Ranchi, Jharkhand a premier teaching institution in Eastern India. 150 patients admitted in the study duration of January 2016 to June 2016 with diagnosis of unilateral hydrocoele without any co-morbidity and in the age group of 20 to 50 years were randomly selected and enrolled for study. Results: The commonest type was vaginal hydrocoele (96%). All patients underwent surgery for hydrocoele; surgery was started under local anesthesia using 1% lignocaine with adrenaline for spermatic cord block and scrotum infiltrated along the line of incision – 80% tolerated well, 16% required additional sedation while 4% were converted to intravenous general anesthesia. But only 60% of them agreed to have such surgery under local anesthesia in future and 30% strongly denied for such surgery under local anesthesia. Conclusion: Hydrocoele surgery under local anesthesia alone or with additional sedation although well tolerated by most of the patients; but for some patients it’s quite painful and unsatisfactory so whenever possible better alternatives viz. spinal anesthesia should be considered for better intra-operative pain relief.
Authors and Affiliations
Vishnu Singh Munda, Nagendra Nath Murmu
Keywords
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- EP ID EP244861
- DOI 10.9790/0853-1610151316
- Views 59
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