Muhammad Faheem Anwer, Muhammad Zakir Sial, Muhammad Nadeem Aslam, Ahmad Uzair Qureshi.
Effectiveness of Local Anaesthesia for Postoperative Analgesia Requirement for Lichtenstein Hernia Repair - A comparative study.
Pak J Med Health Sci Jan ;6(4):958-61.

Objective: To compare the postoperative analgesia requirement in Lichtenstein repair under local versus spinal anaesthesia. Study design: Randomized clinical trial. Setting: Department of Surgery Jinnah Hospital, Lahore from 15th May 2009 to 14th November 2010. Data collection: The study included 200 patients divided randomly in two equal groups. Patients in group A were subjected to local anaesthesia while patients in group B were subjected to spinal anaesthesia. The main outcome measure was pain relief which was measured in terms of analgesia requirement after the procedure. The patients were followed till they felt comfortable to be discharged on oral analgesia. Results: Postoperative opioid analgesia was required by 79% patients of LA as compared to 99% of SA and marked difference in total requirement. Conclusion: Local infiltration for Lichtenstein hernioplasty showed better results and good efficacy as compared to spinal anaesthesia and it didn’t have the adverse effects of spinal anesthesia (i.e. failure, urinary retention, spinal headache and longer hospital stay).

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