Local Anesthesia Usage At İnguinal Hernia Repair

Aim: We aimed to investigate probable effects of inguinal hernia repairing under local anesthesia on duration of hospital stay, postoperative complications and pain. Material and Method: This prospective study was conducted between October 2000 and December 2005. In 193 patients with unilateral inguinal hernia. Prilocain 1% solution was used as local anesthetic maretial. Thiopentone sodium (6 mg/kg), sucsinilycholine chloride (1 mg/kg), atracurium besylate (0.4 mg/kg), isoflurane olumcombination was used for general anesthesia. Analgesia was obtained with diclofenac sodium (75 mg x 2 per day) in postoperative period. The length of hospital stay, postoperative pain, postoperative complications, satisfaction were recorded and relation between used anesthesia method was investigated. The results obtained were compared. Results: A total 193 patients were operated under general or local anesthesia (respectively 18.13%-81.87%). Sixty-nine point seven percent of patients were discharged postoperative first day in operated under local anesthesia group but only 20% of patients were discharged postoperative second day in operated under general anesthesia group. Postoperative pain scores at sixth hour was 2.82±0.93 in local anesthesia group and 6.62±1.57 in general anesthesia group (p<0.05). In the group oparetod under general anesthesia, the postoperative complicaties such as urinery retantion and nausea were recorded more often. Conclusion: Inguinal hernia repairment under local anesthesia is suitable with less length of hospital stay, reduced postoperative pain scor and less complications such as urinary retantion and nausea.