LOCAL VERSUS SPINAL ANAESTHESIA: A COMPARATIVE RESEARCH IN PATIENTS WITH LONG-STANDING OPEN INGUINAL HERNIA IN CENTRAL INDIA

Abstract

Background: The most common drawback of erect posture in human beings is hernias. Because of intra-abdominal pressure against gravity, inguinal hernia occurs 15-20 percent, so anterior abdominal muscles are antigravity muscles and more susceptible to inguinal hernia. Local anaesthesia, spinal or general anaesthesia are the prevalent anaesthetic methods for inguinal hernia repair. Therefore, attempts have been made to compare the pros and cons of both strategies.

Objectives: A comparative research regarding Local versus spinal anaesthesia in patients with long-standing open inguinal hernia.

Method: The research included 132 adults between 30 and 60 years of age. The patients were categorised as A group (local anaesthesia) and B group (spinal anaesthesia with 66 patients in each group in 2 groups. The patients were studied with unilateral, reducible, indirect, long-standing (chronic) inguinal hernia patients, Regular Blood test, RBS, chest-X-ray, ECG to certify the feasibility.

Results: In contrast with the B group, the length of the surgery was more in local anaesthetic group A, but the VAS scale analysis was more in group A (local) anaesthesia. Post-surgical complications such as wound infections, re-admission, post-operative hydrocele urinary retention were more important in group B (spinal anaesthesia).

Conclusion: Spinal anaesthesia is suitable for chronic or long-standing inguinal hernia because of the shorter time of surgery and the least discomfort.

Keywords: Local anaesthesia, spinal Anaesthesia, VAS.