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HERNIOPLASTY UNDER LOCAL ANESTHESIA

Fizza Kamran, Muhammad Zaid-ur-rehman, Rabeea Tahira,

Abstract: Mostly surgeons prefer local anesthesia for inguinal hernia repair in elderly. Local anesthesia if employed in hernia repair is safer, causes less pain, no urinary and wound complications and results in rapid recovery and can be done as a day case with economy. Objective: To compare the outcome of mesh hernioplasty performed under local anesthesia in patients with age <60 versus > 60 years in regards to wound complications and urinary retention. Study Design: Comparative Study Setting: Department of surgery, Allied Hospital Faisalabad Duration of study: Methodlogy: After permission from hospital ethical committee and written consent, 102 consecutive patients admitted through OPD. Demographic profile like age and sex will be noted. The surgical method implied will be Lichtenstein mesh repair done under local anesthesia. Outcome will be documented in terms of urinary retention at 8 hours after operation, wound seroma and hematoma at 24hours and wound infection after 5 days of surgery. Results: Among patients <60 years urinary retention developed in 7.8% while 11.8% in >60 years. Frequency of the wound complications including wound hematoma, seroma and wound infection were seen in 3(5.9%),2(3.92%) and 0 respectively in patients with age less than 60 years and 2(3.92%), 2(3.92%) and 0 respectively in patients with age over 60 year. Conclusion: The result in patients with age less than 60 years is comparable to the patients with age more than 60 years in terms of urinary retention and wound complications. Keywords: Inguinal hernia, urinary retention, wound seroma, wound hematoma and wound infection.

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