title: Comparison of local, spinal, and general anaesthesia for inguinal herniorrhaphy.
abstract: OBJECTIVE
  To 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.
  
  
  METHODS
  Prospective randomised controlled trial.
  
  
  METHODS
  University hospital, Turkey.
  
  
  METHODS
  Seventy-five men with unilateral primary inguinal hernias, Nyhus type II and III, and ASA I and II.
  
  
  METHODS
  Lichtenstein repairs with standard local, spinal, or general anaesthesia.
  
  
  METHODS
  Duration of operation and anaesthesia, postoperative pain scores, analgesic requirements, complications, length of hospital stay, postoperative rehabilitation, and satisfaction.
  
  
  RESULTS
  With 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.
  
  
  CONCLUSIONS
  Local 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.
authors.affiliation: Department of General Surgery, Adnan Menderes Hospital, Aydin, Turkey. hedefozgun@yahoo.com
authors.forename: Hedef
authors.initials: H
authors.lastname: Ozgün
authors.forename: Meryem Nil
authors.initials: MN
authors.lastname: Kurt
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Kurt
authors.forename: Mehmet Hakan
authors.initials: MH
authors.lastname: Cevikel
mesh_terms: D000768:Anesthesia, General; D000772:Anesthesia, Local; D000775:Anesthesia, Spinal; D006552:Hernia, Inguinal / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011446:Prospective Studies; D013997:Time Factors