مقايسه ترميم فتق كشاله ران با بي حسي موضعي و بي حسي نخاعي

Inguinal Herniorrhaphy Under Local Versus Spinal Anesthesia in Male Adults, A Comparative Study

Inguinal hernia repair is the most common general surgical operation. There are many kinds of operative techniques besides anesthetic modalities for herniorrhaphy. Local infilteration anesthesia is the most common and has the least adverse effects. General and spinal anesthesia, are also used. In our country, local anesthesia is not a routine method. The safety and efficacy of this method, should be evaluated with comparative studies. In a randomized controlled clinical trial, 72 male patients above 18 years old with primary inguinal hernia, divided equally in two groups: local (with sedation) and spinal anesthesia were treated. Age, kind of hernia, and their repairs were proportionate. Duration of the operation was longer in the local group. Intra-operative and postoperative discomforts were assessed by "visual analog scale". Intraoperative pain and 24 hours after was similar but pain at the injection point and 4 hours after the operation was less in the local group. There was no statistically significant difference between headaches, nausea, vomiting, or urinary discomforts in the two groups. No cardioplumonary problems, or sensitivity to the local anesthetics were recorded. Wound complications were similar. Local anesthesia with sedation and spinal anesthesia, are effective, safe and have little or no side effects, for inguinal hernia repair. Surgeon or anesthesiologist preference and the condition of the patient and his/her characters of hernia dictate the method to choose.