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Volume 4 Issue 3 (May - June, 2016)

Original Articles

A PROSPECTIVE COMPARATIVE STUDY OF LOCAL ANESTHESIA VERSUS SPINAL ANESTHESIA FOR HERNIOPLASTY- A HOSPITAL BASED STUDY
Navubha Sodha

Introduction: Hernia is a protusion of a viscus or part of a viscus through an abnormal opening in the walls of its containing cavity. Hernia repair is one of the most common procedure which is done by General Surgeon worldwide.  Materials & Methods: Comparative study of total 100 patients (50 patients under local anesthesia and 50 patients under spinal anesthesia) upto a period of 60 days. All patients were male, age ranges from 18 to 80 years. The present study included male patients of uncomplicated inguinal hernia with American society of anesthesiologist (ASA) grade 1 to 3. Results & Conclusion: Patients operated under local anesthesia had less postoperative pain on day -0 (64%-P1, 38%-P2) compared to spinal anesthesia group (22%-P1, 72%-P2, 6%-P3). This difference was also significant on 1st post-operative day. (Local 92%-P1 and 38%-P2 compare to spinal 66%-P1 and 34%-P2). Hernioplasty under local anesthesia was an acceptable alternative to spinal anesthesia for hernioplasty especially with regard to operative condition, patient’s surgeon’s satisfaction, post-operative pain relief, complications and cost effectiveness.
Keywords: Local, Spinal, Anesthesia, Herioplasty

 
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