EFFICACY AND UTILIZATION OF LOCAL ANESTHESIA IN PATIENTS UNDERGOING INGUINAL HERNIA SURGERY AT UDAIPUR, RAJASTHAN- A INTERVENTION STUDY

Dr. Prakash Chandra Audichya* and Dr. Sameer Goyal

ABSTRACT

Aim: To study how local anesthesia can be effectively used in inguinal hernia surgery and to measure patients satisfaction undergoing inguinal hernia surgery with local anesthesia and at Udaipur, Rajasthan, India. Methods: The present study was carried out at Pacific medical college and hospital, Udaipur, Rajasthan, India. In present study, 25 cases of inguinal hernia repair under local anesthesia were taken into consideration which was operated. All patients were adult and male. For all cases details (preoperative, preoperative and postoperative) were collected. Results were compared with standard series of hernia repair done under local anesthesia performed previously. Results: The mean age of the all the patients in the study was 51.84. Ninety six percentage patient required 2-3 mg/kg lignocaine and 96% patients required 1.01- 1.50 mg/kg bupivacaine. One patient developed dysarrythemia in form of sinus bradycardia. most of the patients (56%) required 40 -60 min for surgery. Maximum duration of surgery was 102 min and minimum duration was 45 min. Average hospital stay in present series was 3 days which was more than other similar standard series by 1 day. Conclusion: Inguinal hernia under local nerve block is a very safe and cost effective procedure especially for the very high risk patient who cannot undergo general, spinal or epidural anesthesia.

Keywords: Anesthesia, Bupivacaine, Inguinal hernia, Lignocaine, Udaipur.