Local Anesthesia Versus Spinal Anaesthesia for Inguinal Hernia Repair: A Comparison

Abstract

Background: Repair of an inguinal hernia is among the most common surgical procedures done today. Local anesthesia has surpassed spinal and general anesthesia as the method of choice for hernia operations performed on the same day. Advantages include less suffering after surgery, getting up and moving around sooner, spending less time in the hospital, and saving money. Methods: This prospective study was carried out in Department of General Surgery, Malla Reddy Medical College for Women, Hyderabad, Telangana, India, from September 2021 to August 2022, and it included 26 cases of inguinal hernia. Following admission to the hospital, a full history was gathered, as well as a thorough clinical examination. Results: The ages of the patients in the current study varied from 22 to 77 in group A, and from 18 to 76 in group B. Group A patients had a mean age of 46.216.64, whereas Group B patients had a mean age of 42.5616.71; both groups consisted primarily of males. Two groups, A and B, were created from the 26 patients. Participants' ages ranged from 19 to 70 in Group A, and from 43 to 77 in Group B. In Group A, there were 4 cases of direct inguinal hernia and 9 cases of indirect hernia, whereas in Group B, there were 3 cases of direct inguinal hernia and 10 cases of indirect hernia. Conclusion: Although effective and inexpensive, the method has substantial economic benefits because to the low morbidity, low recurrence rate, and speedy return to ordinary activities. The patient can be discharged sooner, and complications from the anesthesia are less likely to arise. If successful, it may one day replace open surgery as the go-to method for fixing groin hernias.