EVALUATION OF LOCAL ANAESTHESIA VS SPINAL ANAESTHESIA FOR INGUINAL HERNIA REPAIR

Abstract

Background and Objectives: In the previous century, the mere existence of a hernia was sufficient evidence to warrant surgical intervention in order to prevent the potentially fatal complications of obstruction and strangulation. The study's objective
was to assess the efficacy and safety of inguinal hernia repair performed under locally administered ultrasound-guided anaesthesia.
Material and Methods: This study was conducted at Department of General Surgery, Government Medical College, Karimnagar, Telangana, India from May 2023 to October 2023. It comprised a total of 40 patients with inguinal hernia. Upon admission to the hospital, a comprehensive medical history was obtained and a meticulous clinical examination was conducted. Standard diagnostic procedures such as haemoglobin, total leucocyte count, differential leucocyte count, erythrocyte sedimentation rate, random blood sugar, renal function tests, chest X-ray, and EKG were performed for each case.
Results: Patients in group A were between the ages of 19 and 76, while those in group B were between the ages of 22 and 77. Forty patients participated in the study conducted by Song et al. The average age of the patients undergoing local anaesthesia surgery was 42±18 years, whereas the average age of the patients undergoing spinal anaesthesia surgery was 39±14 years. There were 37 men and 3 women among the patients. Our patients' ages and sexes were comparable to those in previous research. The current investigation found that 16 patients in group A and 20 patients in group B had indirect inguinal hernias. Nine patients in group A and five in group B had direct inguinal hernias. We found results that were very consistent with the other investigations.
Conclusion: This leads to a more rapid short-term recovery, a more rapid discharge, and fewer difficulties associated with anaesthesia. Perhaps it will one day be the norm when it comes to groyne hernia repairs.