Original Research

Comparison of Mesh Inguinal Hernioplasty Under Local versus Spinal Anesthesia

Muhammad Farooq Sandhu1
DHQ Toba Tek Singh
Muhammad Irfan Fazal2
King Edward Medical University, Lahore
Muhammad Hassan3
Consultant Surgeon, Pakpatan
Muhammad Jawad4
Consultant Surgeon, Bahawalnagar.
4 Zara Arooj
Warda Munir

✉ Correspondence: Muhammad Irfan Fazal Email: irfanfazal269@gmail.com

DOI https://doi.org/10.70302/jpsim.v2i3.2152
Volume: 2, Issue 3 Pages: 226–230 Published: 20 Sep 2021
Received: 27 May 2021 Accepted: 27 Jul 2021 Published Online: 20 Sep 2021

Abstract

Objective

Postoperative pain and costs are regarded as equally important issues as technique and recurrence rates in inguinal hernia repair. Postoperative pain may vary according to the method by which an anesthesia is applied.
To compare mesh inguinal hernioplasty under local versus spinal anesthesia with reference to postoperative pain and hospital stay of patient.

Methods

A randomized control trial study was conducted at North Surgical Unit, Mayo Hospital Lahore Pakistan. Duration of the study was six months in which a total of 82 patients (41ineachgroup)were observed by using 79% proportion of pain in local7 and 99% proportion of pain in spinal 7.95% confidence level and 90% power of test under WHO software for sample size determination. Furthermore non probability purposive sampling technique was used for sample collection.

Results

The mean age in Group A (local anaesthesia) was 30 years with SD +

6.47 and in Group B (spinal anaesthesia) was 31 years with SD + 6.98 in this study. All the patients in both the groups were males. Post operatively the pain score values as well as duration of hospital stay of patients were found to be lower in Local anesthesia group as compared to Spinal Anesthesia group.

Conclusion

Local anesthesia not only reduces post-operative pain but also facilitates patient’s mobilization and discharge along with decreasing the early complications that occur post operatively. Thus, Local Anesthesia is comparatively secure and advantageous method to be applied in inguinal hernia repair for day care surgery.

Keywords
local vs. spinal anaesthesia mesh inguinal hernioplasty pain hospital stay

How to Cite This Article

Sandhu MF, Fazal MI, Hassan M, Jawad M, Arooj 4Z, Munir W. Comparison of Mesh Inguinal Hernioplasty Under Local versus Spinal Anesthesia. J Pak Soc Intern Med. 2021;2(3):226–230. doi:10.70302/jpsim.v2i3.2152

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

References

  1. Senagore AJ. The Gale Encyclopedia of Surgery: A Guide for Patientsand Caregivers; 3rd volume set: Gale;2004.
  2. Ali M, Habiba U, Hussain A, Hadi G. The outcome of Darning method of Inguinal hernia Repair using Polypropylene in A district General hospital. J Postgrad Med Inst. 2011;17(1):42-5.
  3. Khan M, Khan SM, Sharafat S, Khan Z. Inguinal herniorraphy with Vicryldarn: experience with 1150 cases. J Postgrad Med Inst.2011;20(1):44-7.
  4. Majeed S, Mehmood K. Repair of inguinal hernias with lichtenstein technique. Pak Armed Forces Med J.2005;55(2):95-8.
  5. Iqbal P, Shaikh N. Postoperative complications of inguinal hernia repair. Med Channel.2006;12(1):33-5.
  6. Gourgiotis S, Germanos S, Stratopoulos C, Moustafellos P, Panteli A,Hadjiyannakis E. Lichtenstein tension-free repair of inguinal hernia. Chirurgia 2006;101(5):509-12.
  7. Go P. What is next in inguinal hernia surgery? Surg Technol Int.2006;15(1):116-9.
  8. Bringman S, WollertS, Österberg J, Smedberg S, Granlund H, HeikkinenTJ. Three‐year results of a randomized clinical trial of lightweight or standard polypropylene mesh in Lichtenstein repair of primary inguinal hernia. Brit J Surg.2006;93(9):1056-9.
  9. Farooq O, Batool Z. Prolene Darn: safe and effective method for primary inguinal hernia repair. J Coll Physic Surg Pak.2005;15(6):358-61.
  10. Terzi C. Antimicrobial prophylaxis in clean surgery with special focus on inguinal hernia repair with mesh. J Hosp Infect.2006;62(4):427-36.
  11. The Royal College of Surgeons of England. Guidelines for Day Case Surgery.March 1992. London: RCSE,1992.
  12. van Veen RN, Mahabier C, Dawson I, Hop WC, Kok NF, Lange JF, et al. Spinal or local anesthesia in lichtenstein hernia repair: a randomized controlled trial. Ann Surg. 2008;247(3):428-33.
  13. Farooq O. Recurrent inguinal hernia repair by open preperitoneal approach. J Coll Physic Surg Pak.2005;15(5):261-5.
  14. Nordin P, Zetterström H, Carlsson P, Nilsson E. Cost–effectiveness analysis of local, regional and general anaesthesia for inguinal hernia repair using data from a randomized clinical trial. Brit J Surg.2007;94(4):500-5.
  15. Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in post-operative recovery. Lancet. 2003;362(9399):1921-8.
  16. Holzbeimer R. Low recurrence rate in hernia repair-results in 300 patients with open mesh repair of primary inguinal hernia. Eur J Med Res.2007;12(1):1-5.
  17. Sanjay P, Leaver H, Shaikh I, Woodward A. Lichtenstein hernia repair under different anaesthetic techniques with special emphasis on outcomes in older people. Austral J Ageing. 2011;30(2):93-7.
  18. Reece‐Smith A, Maggio A, Tang T, Walsh S. Local anaesthetic vs. general anaesthetic for inguinal hernia repair: systematic review and meta‐analysis. Int J Clin Pract. 2009;63(12):1739-42.
  19. Chaudhari A, Chaudhari V. Local anesthetic agents along with hyaluronidase for inguinal hernia block provides excellent analgesia: a double blind study. Int J Basic Clin Pharmacol.2013;2(4):466-9.
  20. Rehman A, Nisar W, Jan Q, Younas M, Hikmatullah, Shah A. Lichtensteinmesh repair under local anaesthesia. J Med Sci. 2009(17):103-5.
  21. Abbas MH. Outcome of strangulated inguinal hernia. Pak J Med Sci. 2005;21(4):445- 50.
  22. Aurangzeb M. Tension Free mesh Hernioplasty; a Review of 96 cases. J Postgrad Med Inst Pak.2011;18(1):46-51.

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CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2021 Journal of Pakistan Society of Internal Medicine.
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