Vol. 10, Issue 6, Part D (2024)

Background: This work is designed to study that hernioplasty can be performed without trained anaesthetic staff by the operating surgeon and to study that Hernioplasty under local anaesthesia is an acceptable alternative to conventional hernioplasty using spinal anaesthesia.

Materials and Methods: This study is a Comparative Study conducted in 100 patients with inguinal hernia who are willing to take part in the study during the study period in department of general surgery, JNIMS.

Results: The time taken to finish hernioplasty under local anaesthesia was from 30 mins to 58 mins. But the time taken to finish under spinal anaesthesia was prolonged ranging from 50 mins to 96 mins. The mean at 0 hr, 6 hrs, 18 hrs and 30 hrs in group A was found to be 3.30+/-1.15, 1.4+/-0.99, 0.2+/- 0.61 and 0.04 +/- 0.2 whereas in case of group B the mean at 0 hr and 6 hrs was 2.12+/-0.72, 0.28 +/-0.54 respectively. The post-operative pain in the group B was significantly less when compared to group A at 0 hr, 6 hrs and 18 hrs (p value < 0.05), there is no significant difference between two groups by the end of 30 hrs.

Conclusion: Inguinal hernia repair with local anaesthesia is quite safe and results in a good success rate.