Comparison of outcome of local versus spinal anesthesia in mesh inguinal hernioplasty with respect to pain and hospital stay

Background: hernia is a common surgical problem which requires good surgical skill as well as good knowledge about anatomy and various repair of hernia. inguinal hernioplasty can be done under general anesthesia,spinal,or local anesthesia. the choice of anesthesia depends upon a variety of factors vizpatient's acceptance,surgeon's wishes,safety,feasibility and cost etc. recently there has been revival in the use of local anesthetic technique for hernioplasty. aim: to compare the outcome of local versus spinal anesthesia in mesh inguinal hernioplasty with respect to postoperative pain and hospital stay. study design: quasi experimental study. place and duration of study: dept. of west surgical ward,mayo hospital lahore from october 1 2014 to march 30,2015. methods: in this study of six months,a total of 82 patients (41 in each group) were observed byusing 79% proportion of pain in local 7 and 99% proportion of pain in spinal 7.95% confidential level and 90% power of test under who software for sample size was determined. moreover non probability sampling technique was used for sample collection. the inclusion criteria was all male patients with age more than 15 years having reducible inguinal hernia and patients with obstructed,recurrent,strangulated or contraindicated to spinal anesthesia were excluded. results: in this study,mean age in group a (local anesthesia) was thirty years with sd+6.47 and in group b (spinal anesthesia) was 31 years with sd+6.98.all patients in both groups were male. pain score values postoperatively were found to be lower in local anesthesia as compared to spinal anesthesia. duration of hospital stay was also less in patients operated under local anesthesia. conclusion: in local anesthesia,there is less postoperative pain so patient can be early mobilized and discharged along with less postoperative complications. hence local anesthesia is safe and advantageous method to be applied in inguinal hernia repair for day care surgery. © 2016,lahore medical and dental college. all rights reserved.