To compare the outcome of inguinal hernia repair under local and spinal anesthesia

IF 0.5 Q4 SURGERY
N. Maurya, Shadab Asif, Saleem Tahir, Kumar Aishwarya, Swarnlata Shiromani
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Abstract

INTRODUCTION: The most frequent form of hernia is inguinal hernia, affecting around 15% of adult males. The optimal surgical anesthetic method for ambulatory inguinal hernia repair is unknown at the moment, and there is no consensus on the procedure. The goal of this study was to examine the outcome of inguinal hernia repair under local anesthesia compared with spinal anesthesia. MATERIALS AND METHODS: In this prospective observational study, 80 patients were randomly assigned into two groups by the SNOSE method with a different mode of anesthesia: group SA (n = 40) and group LA (n = 40). Lichtenstein tension-free hernioplasty was done in all patients. Pre- and post-OP clinical examinations (3rd day) were looked for complications. RESULTS: There were no significant demographic differences between the two groups. When compared with the SA group, the LA group experienced much less post-operative pain. With local anesthesia, post-operative ambulation was substantially faster. The use of a local anesthetic allowed for a shorter stay in the hospital and a speedy return to regular activity. In general, local anesthesia was linked to less post-operative complications in the early aftermath. CONCLUSION: Local anesthesia is a preferable choice to spinal anesthesia for short stay or daycare surgery, particularly for patients who are unable to tolerate spinal anesthesia. As a result, Lichtenstein’s hernioplasty performed under local anesthesia is attracting considerable interests in the field of groin hernia repair.
目的比较局麻和脊髓麻醉下腹股沟疝修补术的效果
简介:最常见的疝气形式是腹股沟疝,影响约15%的成年男性。门诊腹股沟疝修补术的最佳手术麻醉方法目前尚不清楚,在手术过程中也没有达成共识。本研究的目的是比较局麻与脊髓麻醉下腹股沟疝修补术的效果。材料与方法:本前瞻性观察研究将80例患者随机分为两组:SA组(n = 40)和LA组(n = 40),采用不同的麻醉方式。所有患者均行利希滕斯坦无张力疝成形术。术前和术后临床检查(第3天)寻找并发症。结果:两组间无统计学差异。与SA组相比,LA组术后疼痛明显减轻。局部麻醉下,术后行走速度明显加快。使用局部麻醉剂可以缩短住院时间,并迅速恢复正常活动。一般来说,局部麻醉与术后早期并发症较少有关。结论:局部麻醉较脊髓麻醉适用于短期住院手术或日托手术,尤其适用于不能耐受脊髓麻醉的患者。因此,局部麻醉下行Lichtenstein疝成形术在腹股沟疝修补领域引起了相当大的兴趣。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.90
自引率
0.00%
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审稿时长
13 weeks
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