Muhammad Kalim, Tariq Ijaz.
Comparison of Analgesia Requirement in Lichtenstein Inguinal Hernia Repair under Local Vs Spinal Anaesthesia.
Ophthalmol Update Jan ;15(4):436-9.

Background: Hernia surgery is one of the most frequently performed procedures in general surgery. Pain after inguinal hernia surgery is a common complaint in surgical wards. Many treatment modalities are available for pain relief like use of paracetamol, NSAIDs morphine derivatives and inguinal field block. Objectives: The objective of this study was to compare postoperative analgesia requirement in Lichtenstein repair under local versus spinal anaesthesia. Material & Methods: this Randomized clinical trial was conducted at department of surgery Lady Reading Hospital Peshawar, from 15th May 2014 to 15th May 2015.including 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. Data was analyzed with the SPSS 11. Results: Most of the patients were of young age group between 20-30. All patients were male. 80% of group A patients had hospital stay of 1 day while 98% of group B patients had hospital stay of more than one day. 79% patients of group A required opioid analgesics as compared to 99% of group B patientsts (p-value > 0.05). Conclusion: Local infiltration for Lichtenstein hernioplasty showed better results and good efficacy as compared to spinal anaesthesia in terms of pain control and opioids requirement.

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