Title: Open repair of Inguinal Hernia done under Local Anesthesia: Results of one year follow-up

Authors: Dr Ajay Kumar Prasad, Dr Hamid Raza Khan

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.144

Abstract

Inguinal hernia is a common condition requiring surgical repair, which is conventionally performed under general or regional anesthesia. The area of open repair is usually limited and hence amenable under local anesthesia (LA) too. LA is a safer and has fewer complications, but there is a possibility of intraoperative discomfort to the patient.  This study was undertaken to evaluate the efficacy of LA for open repair of inguinal hernia. We studied 72 cases of open surgical repair of inguinal hernia done under LA. All vital parameters were monitored; intraoperative discomfort and the efficacy of repair were evaluated till one year. No patient had any intraoperative complications. 83 % of patients had no intraoperative pain. Averageintra op pain was 11 on VAS, and 2.7 % required revision surgery. LA is a safe and effective option in open surgery for repair of inguinal hernia.   

Keywords: Open Inguinal hernia repair, local anesthesia.

References

  1. Hernias: inguinal and incisional. Kingsnorth A, LeBlanc K, 2003 Nov 8; 362(9395):1561-71.
  2. An Epidemiological Study of Major Surgical Procedures in an Urban Population of East Delhi Sanjay K. Bhasin et al. Indian J Surg. 2011 Apr; 73(2): 131–135
  3. Amid PK, Shulman AG, Lichenstein IL. Local anesthesia for inguinal hernia repair step by step procedure. Ann Surg 1994; 220: 735-7.
  4. Callesen T. Inguinal hernia repair: anesthesia, pain and convalescence. Dan Med Bull 2003; 50(3):2003-18.
  5. Anderson F H, Neilsen k, Kehlet H. Combined ilioinguinal blockade and local infiltration anesthesia for groin hernia repair- a double blind randomized study Br.J. Anaesth 2005; 94(4):520-3.
  6. Baskerville PA, Jarrett PEM. Day care inguinal hernia repair under local anesthesia. Ann R CollSurgEngl 1983; 65: 224-5.
  7. Kulacoglu H, Ozyaylali I, Yazicioqlu D. Factors determining the dose of local anesthetic agent in unilateral inguinal hernia repair. Hernia 2009;13(5) : 511-6.
  8. Amid PK, Shulman AG, Lichenstein IL. Local anesthesia for inguinal hernia repair step by step procedure. Ann Surg 1994; 220: 735-7.
  9. Callesen T, Bech K, Kehlet H. One thousand consecutive groin hernia repairs under unmonitored local anesthesia .Anesthanalg 2001;93:1373.
  10. Shulman AG, Amid PK, Lichtenstein IL. The 'plug' repair of 1402 recurrent inguinal hernias. 20-year experience. Arch Surg. 1990 Feb; 125(2):265-7.
  11. Campanelli, Pettinari, Cavalli, Avesani Inguinal hernia recurrence: Classification and approach J Minim Access Surg. 2006 Sep; 2(3): 147–150.
  12. Young DV. Comparision of local, spinal and general anesthesia for inguinal hernia repair. Am J Surg 1987;153:560-3.
  13. KulacogluH ,Ozyaylali I, Yazicioqlu D. Factors determining the dose of local anesthetic agent in unilateral inguinal hernia repair. Hernia 2009;13(5) : 511-6.

Corresponding Author

Dr Hamid Raza Khan

Address: H.No.65, Road No.2, B Block, Dhadkidih, P O Bistupur, Jamshedpur - 831001

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