Comparison of local, spinal, and general anaesthesia for inguinal herniorrhaphy.
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.
Ozgün
Hedef
H
Department of General Surgery, Adnan Menderes Hospital, Aydin, Turkey. hedefozgun@yahoo.com
Kurt
Meryem Nil
MN
Kurt
Ibrahim
I
Cevikel
Mehmet Hakan
MH
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