• Hedef Ozgün, Meryem Nil Kurt, Ibrahim Kurt, and Mehmet Hakan Cevikel.
• Department of General Surgery, Adnan Menderes Hospital, Aydin, Turkey. hedefozgun@yahoo.com
• Eur J Surg. 2002 Jan 1;168(8-9):455-9.

ObjectiveTo compare local, spinal, and general anaesthesia for inguinal hemiorraphy in otherwise healthy patients with respect to duration of operation, time in operating room, postoperative pain, complications, rehabilitation, and satisfaction.DesignProspective randomised controlled trial.SettingUniversity hospital, Turkey.SubjectsSeventy-five men with unilateral primary inguinal hernias, Nyhus type II and III, and ASA I and II.InterventionsLichtenstein repairs with standard local, spinal, or general anaesthesia.Main Outcome MeasuresDuration of operation and anaesthesia, postoperative pain scores, analgesic requirements, complications, length of hospital stay, postoperative rehabilitation, and satisfaction.ResultsWith local anaesthesia, we recorded shorter time spent in the operating room, lower incidence of nausea and urinary retention, and more satisfaction. In the local and spinal anaesthetic groups, postoperative analgesic requirements and length of hospital stay were less than in the general anaesthesia group.ConclusionsLocal anaesthesia is suitable for day-case hernia repair with fewer postoperative problems and less analgesia requirement. Patients also reported greater satisfaction. Local anaesthesia may be preferred to other methods.

17 keywords...

hide…