EFFICACY OF LOCAL ANAESTHESIA IN REPAIR OF INGUINAL HERNIA

Authors

  • Muhammad Kashif Rafiq Ayub Teaching Hospital, Abbottabad
  • Babar Sultan
  • Masood Akhtar Malik
  • Khalid Khan
  • Munir Ahmad Abbasi
  • Khalid Khan

Abstract

Background: Local anaesthesia has been identified as the most favourable anaesthesia for elective inguinal hernia repair with respect to complication rate, cost effectiveness and overall patients’ satisfaction. This study was conducted to determine the efficacy of local anaesthesia in inguinal hernia in terms of pain relief, wound infection and hospital stay. Methods: In this randomized controlled trial (RCT), 60 patients with inguinal hernia were included at the General Surgical ‘B’ Unit, Ayub Teaching Hospital Abbottabad. Results: The day-case rates were significantly higher when patients underwent surgery under LA compared to GA (82.6% versus 42.6%). The incidence of urinary retention was higher in the GA group (p<0.05). There were 17 (2.9%) re-admissions overall. The reasons for re-admission included haematoma (n=6), severe pain (n=4), infection (n=3), fainting (n=2) and urinary retention (n=2). Conclusion: This study demonstrates that local anaesthesia for inguinal hernia repair has better efficacy as compared to general anaesthesia.Keywords: General anaesthesia; local anaesthesia; inguinal hernia; Comparison

Author Biographies

Muhammad Kashif Rafiq, Ayub Teaching Hospital, Abbottabad

Senior RegistrarSurgical A Unit,Ayub Teaching Hospital, Abbottabad

Babar Sultan

Assistant ProfessorSurgical A Unit,Ayub Teaching Hospital, Abbottabad

Masood Akhtar Malik

Assistant ProfessorSurgical A Unit,Ayub Teaching Hospital, Abbottabad

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Published

2016-12-01

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