A COMPARISON BETWEEN TUMESCENT LOCAL ANESTHESIA AND SPINAL ANESTHESIA IN INGUINAL HERNIA REPAIR

Background: Hernias are among the oldest known afflictions of human kind and elective inguinal hernia repair is commonly performed operation in general surgery. General or spinal anesthesia are still the most common types of anesthesia being used in India. Studies comparing the recovery profiles of local, general and regional anesthesia show that local anesthesia is ideal for day care surgery.Methods: This study had included 60 cases of male single sided reducible indirect long standing (more than 5 years) inguinal hernia. Patients were divided randomly into two groups of 30 each named Group A and Group B. Patients in group A were subjected to inguinal hernia mesh repair under local anesthesia and patients in group B were subjected to inguinal hernia mesh repair under spinal anesthesia. Tension free Lichtenstein hernioplasty was done in both groups.Results: Time taken in local anesthesia is higher than spinal anesthesia. Intraoperative pain is higher in local anesthesia than spinal anesthesia. There is no difference on post-operative pain. Post-operative complications are more in spinal anesthesia group.Conclusions: Patient selection is very important and patient with long history should be avoided under local anesthesia.

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Transinguinal Preperitoneal Patch (TIPP) under Local Anesthesia with Sedation

The American Surgeon ◽

10.1177/000313481107701243 ◽

2011 ◽

Vol 77 (12) ◽

pp. 1681-1684 ◽

Cited By ~ 6

Author(s):

Edouard P. PÉLissier ◽

Philippe Ngo ◽

Brice Gayet

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

General Anesthesia ◽

Spinal Anesthesia ◽

Inguinal Hernia Repair ◽

Local Anesthesia ◽

Comparative Studies ◽

Patch Repair ◽

Routine Method ◽

Prospective Evaluation

Transinguinal preperitoneal placement of the patch (TIPP) combines the advantages of the preperitoneal patch and the simplicity of the inguinal approach. The aim of the study was to evaluate the feasibility of TIPP under local anesthesia (LA) with sedation on a series of unselected patients. All 161 patients referred to one of us for inguinal hernia repair were included in a prospective evaluation; they were operated on for 169 inguinal hernias, in LA with sedation. TIPP was the routine method and was used in all but a few particular cases. TIPP was performed in 139 cases out of 169 (82.2%). In 21 cases (12.4%) another method was chosen, due to the patient's age, the patient's request, or the type of the hernia. In nine cases (5.3%) another technique was used because preperitoneal dissection was not possible, due to a previous preperitoneal surgery. In the 139 cases where a TIPP was performed, general anesthesia was used in four cases at the patient's request and spinal anesthesia in two cases of large irreducible scrotal hernias in old, frail patients. TIPP was begun under LA in 133 cases and conversion to general anesthesia was necessary in one case only. Therefore, TIPP under LA was possible in 132 cases out of 139 (95%). These results suggest that TIPP can be performed under LA in most cases. The expected advantages of combining preperitoneal patch repair and local anesthesia are worth being confirmed by comparative studies.

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LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL INGUINAL HERNIA REPAIR WITH TUMESCENT LOCAL ANESTHESIA (TUMESCENT TAPP)

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) ◽

10.3919/jjsa.72.2204 ◽

2011 ◽

Vol 72 (9) ◽

pp. 2204-2208 ◽

Cited By ~ 4

Author(s):

Hiromi TOKUMURA ◽

Ryohei NOMURA ◽

Fumito SAIJO ◽

Naoki MATSUMURA ◽

Akihiro YASUMOTO ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Local Anesthesia ◽

Transabdominal Preperitoneal ◽

Tumescent Local Anesthesia ◽

Transabdominal Preperitoneal Inguinal Hernia

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Comparison of local versus spinal anaesthesia in inguinal hernia repair

International Surgery Journal ◽

10.18203/2349-2902.isj20205364 ◽

2020 ◽

Vol 7 (12) ◽

pp. 4107

Author(s):

Suraj Bhardwaj ◽

Shuchi Sharma ◽

Vatika Bhardwaj ◽

Roshan Lal

Keyword(s):

Inguinal Hernia ◽

Postoperative Pain ◽

Hernia Repair ◽

Spinal Anesthesia ◽

Inguinal Hernia Repair ◽

Local Anesthesia ◽

Spinal Anaesthesia ◽

Local Anaesthesia ◽

Day Case ◽

Duration Of Surgery

Background: Inguinal hernioplasty remain one of the most commonly performed operations worldwide. Local anaesthesia can be a preferred method in day-case hernia surgeries. Present study was thus conducted to determine whether local anaesthetic technique is an acceptable alternative to spinal anaesthesia for hernia repair, especially with regards to operative conditions, postoperative pain relief and complications.Methods: This was a prospective randomized single blinded clinical study consisting of sixty patients conducted after the ethical committee clearance. The patients posted for tension free lichtenstein elective hernioplasty were allocated to either of two groups, group A (n=30) were given local anaesthesia and patients in group B (n=30) were given spinal anaesthesia. The operative and postoperative pain sore using visual analogue scale, duration of surgery and any other complications were recorded.Results: There was no demographic difference between the two groups. Time taken in local anesthesia was higher than spinal anesthesia. Intraoperative pain was higher in local anesthesia than spinal anesthesia. There was no difference in post-operative pain scores (p>0.05). Post-operative complications were more in spinal anesthesia group e.g. urinary retention, headache, etc.Conclusions: Local anesthesia can be another good choice for inguinal hernia repair owing to its advantages and less complications, but it can’t be confirmed that local anaesthesia is better than spinal anaesthesia. It can be reliably concluded that local anaesthesia can be a preferred method in day-case hernia surgeries owing to its advantages of ease of administration and less complications.

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