Comparison of Local and Spinal Anesthesia for Inguinal Hernia Repair

Inguinal hernial repair is one of the most common surgical procedures in a general surgical practice. The usual anesthetic methods for elective inguinal herniorrhaphy are spinal or local anesthesia. Local anesthesia is very safe for patients with high cardiovascular risk. However, the usage of local...

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Main Authors: Bunlue Chowdok, Araya Khaimook
Format: Article
Language:English
Published: Prince of Songkla University 2010-10-01
Series:Journal of Health Science and Medical Research (JHSMR)
Subjects:
Online Access:https://www.jhsmr.org/index.php/jhsmr/article/view/359
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author Bunlue Chowdok
Araya Khaimook
author_facet Bunlue Chowdok
Araya Khaimook
author_sort Bunlue Chowdok
collection DOAJ
description Inguinal hernial repair is one of the most common surgical procedures in a general surgical practice. The usual anesthetic methods for elective inguinal herniorrhaphy are spinal or local anesthesia. Local anesthesia is very safe for patients with high cardiovascular risk. However, the usage of local anesthesia is not widely accepted in Thailand. We conducted a prospective randomized controlled trial in 60 adult patients to compare local anesthesia with conventional spinal anesthesia for electiveunilateral inguinal hernia repair. The results showed that total time spent in operative room, pain scores at 24 hours after operation, and length of hospital stay for patients randomized to receivelocal anesthesia were significantly less than in patients randomized to receive spinal anesthesia. In conclusion, local anesthesia as an anesthetic method for inguinal repair can be performed successfully. This choice of anesthesia helps avoiding risks from spinal anesthesia. The only complication in the local anesthesia group was one postoperative wound hematoma. There was no urinary retention in patients receiving local anesthesia.
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spelling doaj.art-d3c8d3f098b0470f9fbfc795a5459f142022-12-22T02:34:35ZengPrince of Songkla UniversityJournal of Health Science and Medical Research (JHSMR)2586-99812630-05592010-10-01285247255373Comparison of Local and Spinal Anesthesia for Inguinal Hernia RepairBunlue Chowdok0Araya Khaimook1Department of General Surgery, Hatyai Regional Hospital, Songkhla 90110,Department of General Surgery, Hatyai Regional Hospital, Songkhla 90110,Inguinal hernial repair is one of the most common surgical procedures in a general surgical practice. The usual anesthetic methods for elective inguinal herniorrhaphy are spinal or local anesthesia. Local anesthesia is very safe for patients with high cardiovascular risk. However, the usage of local anesthesia is not widely accepted in Thailand. We conducted a prospective randomized controlled trial in 60 adult patients to compare local anesthesia with conventional spinal anesthesia for electiveunilateral inguinal hernia repair. The results showed that total time spent in operative room, pain scores at 24 hours after operation, and length of hospital stay for patients randomized to receivelocal anesthesia were significantly less than in patients randomized to receive spinal anesthesia. In conclusion, local anesthesia as an anesthetic method for inguinal repair can be performed successfully. This choice of anesthesia helps avoiding risks from spinal anesthesia. The only complication in the local anesthesia group was one postoperative wound hematoma. There was no urinary retention in patients receiving local anesthesia.https://www.jhsmr.org/index.php/jhsmr/article/view/359herniorrhaphyinguinal hernialocal anesthesia
spellingShingle Bunlue Chowdok
Araya Khaimook
Comparison of Local and Spinal Anesthesia for Inguinal Hernia Repair
Journal of Health Science and Medical Research (JHSMR)
herniorrhaphy
inguinal hernia
local anesthesia
title Comparison of Local and Spinal Anesthesia for Inguinal Hernia Repair
title_full Comparison of Local and Spinal Anesthesia for Inguinal Hernia Repair
title_fullStr Comparison of Local and Spinal Anesthesia for Inguinal Hernia Repair
title_full_unstemmed Comparison of Local and Spinal Anesthesia for Inguinal Hernia Repair
title_short Comparison of Local and Spinal Anesthesia for Inguinal Hernia Repair
title_sort comparison of local and spinal anesthesia for inguinal hernia repair
topic herniorrhaphy
inguinal hernia
local anesthesia
url https://www.jhsmr.org/index.php/jhsmr/article/view/359
work_keys_str_mv AT bunluechowdok comparisonoflocalandspinalanesthesiaforinguinalherniarepair
AT arayakhaimook comparisonoflocalandspinalanesthesiaforinguinalherniarepair