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...
Main Authors: | , |
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Format: | Article |
Language: | English |
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Prince of Songkla University
2010-10-01
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Series: | Journal of Health Science and Medical Research (JHSMR) |
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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. |
first_indexed | 2024-04-13T18:45:41Z |
format | Article |
id | doaj.art-d3c8d3f098b0470f9fbfc795a5459f14 |
institution | Directory Open Access Journal |
issn | 2586-9981 2630-0559 |
language | English |
last_indexed | 2024-04-13T18:45:41Z |
publishDate | 2010-10-01 |
publisher | Prince of Songkla University |
record_format | Article |
series | Journal of Health Science and Medical Research (JHSMR) |
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 |