Department of Surgery, Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh.
Inguinal hernia repair under local anaesthesia though cost effective as well as safe, but due to apprehension of intra operative pain, hinders its wide spread use. Probably ilioinguinal block along with local infiltrations and continuous intravenous ketorolac administration (augmented LA) can improve intra operative analgesia.
We performed a randomized study in 100 patients undergoing inguinal hernia mesh repair, divided into two equal groups of augmented local anaesthesia and spinal anaesthesia. Intra-operative pain and post operative complications were compared between these groups.
Operative analgesia was equally satisfactory in both groups. Early ambulation and post operative analgesia were better as well as complications like nausea, vomiting, headache and urinary retention were not encountered in the augmented LA group.
This study demonstrates that the use of augmented LA results in increased day-care surgery rates, lower postoperative analgesic requirements and fewer urinary problems. The excellent results can be anticipated if it can be practiced routinely by district general hospitals.
Anaesthetic techniques, Augmented LA, Inguinal hernia repair
