Inguinal hernia repair under regional anaesthesia versus local anaesthesia: a comparative study

Introduction

This study aims to compare Lichenstein's repair performed under regional anaesthesia and local anaesthesia.

 

Methods

This prospective study included two groups of 31 patients each with an uncomplicated inguinal hernia from surgical units of KMC affiliated hospitals. All patients underwent Lichenstein's tension-free repair either under spinal anaesthesia (group 1) or under local anaesthesia (group 2). Results from both groups were compiled and analysed.

 

Results

Mean age was 50.45 (SD 16.49) in group 1 and 50.61 (SD 12.04) in group 2. Median time taken for surgery was less under local anaesthesia (1.17 versus 1.5 hours). Postoperative pain was less in the local anaesthesia group at 24, 48 hours after surgery, and after 2 weeks of discharge. Group 1 had higher cases of urinary retention.

 

Conclusion

Lichenstein's repair under local anaesthesia was better concerning post-operative pain, complications and hospital stay.