A STUDY ON PAIN MANAGEMENT AND RECOVERY FROM INGUINAL HERNIA REPAIR UNDER LOCAL ANAESTHESIA

Abstract

Introduction: Hernia is a condition in which an internal organ or internal parts of body protrudes through a weak point or opening into another area forming a bulge in the abdomen. The majority of different hernias are common symptoms of enterostomies which require treatment in about 50 % of patients. An inguinal hernia improvement might be completed with a general anaesthetic, spinal or epidural anaesthesia, a paravertebral obstruction, and local anaesthesia.

Aims and Objectives: To find out the efficiency and safety of undergoing inguinal hernia mesh repair surgery under local anaesthesia.

Materials and Method: This current study was done prospectively  During the period of 12 Months , considering 82 patients of inguinal hernia.  The study sample was divided into 2 groups, namely, group 1 patients (40 patients) who were local anaesthesia during inguinal hernia repair and group 2 patients (42 patients)  were given spinal anaesthesia during the inguinal hernia repair. The statistical analysis was conducted between the two groups considering the post-operative pain, presence of complications, the duration of hospital stay, using "Paired student t-test".

Results:  Group 2 had more patients with severe pain during the surgery as compared to group 1 patients. Overall, group 2 patients showed significantly more VAS scores compared to group 1 patients, but after 48 hours, the difference of VAS score in group 1 and group 2 patients is not analytically significant. It was found that 5% of the group 1 patients had headache as against 19.05% of group 2 patients. In group 1, wound sepsis and testicular pain contributes to 2.5% each.

Conclusion: Local anaesthesia has been proved analytically that it can be lead to recovery quickly and discharge the patients before as compared to the patients who were given spinal anaesthesia. Even the patients with local anaesthesia had significantly lesser complications. Therefore, it can be used as part of gold standard management procedure.

Keywords: local anaesthesia, spinal anaesthesia, hernia repair, pain management