EFFICACY OF LOCAL VERSUS SPINAL ANAESTHESIA FOR MESH INGUINAL HERNIOPLASTY IN TERMS OF POSTOPERATIVE PAIN

Abstract

Objectives: To determine the efficacy of local versus spinal anaesthesia for
mesh inguinal hernioplasty in terms to postoperative pain.
Methodology: This study was conducted at Surgical D Unit, Lady Reading
Hospital Peshawar. Study design was randomized control trial duration of the
study was six months in which a total of 82 patients (41 in each group) were
observed by using 79% proportion of pain in local7 and 99% proportion of
pain in spinal7. 95% confidence level and 90% power of test under WHO software
for sample size determination. More over non probability consecutive
sampling technique was used for sample collection.
Results: In this study mean age in Group A (local anaesthesia) was 30 ±6.47
years and in Group B (spinal anaesthesia) the mean age was 31 ±6.98 years.
All the patients in both the groups were male. In Group A (local anaesthesia)
71% patients didn't had pain while 29% patients had pain. Where as in Group
B (spinal anaesthesia) 61% patients didn't had pain and 39% patients had
pain. Hence on the basis of pain local anaesthesia was effective in 71% patients
and spinal anaesthesia was effective in 61% patients.
Conclusion: Local anaesthesia was more effective than spinal anaesthesia for
mesh inguinal hernioplasty in terms of postoperative pain.