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Lichtenstein Inguinal Hernia Tension Free Mesh Repair Under Total Intravenous Versus Regional Anaesthesia

Mohammed Abdul Baseer, Assistant Professor, Dept. of Surgery, Khaja Banda Nawaz Institute of Medical Sciences, Kalaburagi, Karnataka 585104, India. , Ramraj V.N.1 , Mohammed Abdul Baseer2

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New Indian Journal of Surgery 9(4):p 485-489, July - August 2018. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9418.16

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Abstract

Introduction: Surgery for Inguinal hernia can be performed under a variety of anaesthesia techniques such as general anaesthesia, spinal anaesthesia and epidural anaesthesia. Patient safety and the provision  of optimal operating conditions for the surgeon are  the main criteria for the selection of anaesthesia technique [1].

Aims & objectives: To compare the results of Lichtenstein inguinal hernia tension free mesh repair operated under Propofol, Total Intravenous Anaesthesia (TIVA) + Local Infiltration with those operated under Regional Anaesthesia (Spinal/ Epidural) in terms of various parameters.  

Methodology: Prospective comparartive study of 52 patients for hernia repair by Lichtenstiens technique under regional anaesthesia (groupI) versus total intravenous anaesthesia+local anaesthesia (group  II).

Results: Hernia predominantly occurred in age group of 41­ 51 years, inguinal swelling as chief complaint with similar variation in pulse rate, respiratory rate before surgery and systolic blood pressure during and after surgery in both the groups, while respiratory rates after sugery was stastifically significant. Light headedness, urinary retention was seen in group I patientswhile group II patients were able to walk early with shorter duration of hospitalization compared to group I patients. 

Conclusion: Patients operated under total intravenous aneasthesiahad several advantages over those operated under regional anaesthesia like ­ less postoperative pain, requiring less analgesics, no urinary retention, early ambulation, reduced incidence of nausea and spinal headache, with a shorter duration of hospitalization. 

Keywords: Lichtenstein Tension­Free Mesh Inguinal Hernia Repair; Total Intravenous Anaesthesia (TIVA); Regional Anaesthesia.

 

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9418.16

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