Results of a Comparative Study of Inguinal Hernia Surgery Using Local Anesthesia and Spinal Anesthesia at Yasothon Hospital
Keywords:
Hernia repair, Local anesthesia, Inguinal herniaAbstract
Background: Normally, inguinal hernia surgery at Yasothon Hospital uses spinal and general anesthesia. It was found that both methods still have complications, and patients need time to recuperate in the hospital.
Objective: To compare the results between local and spinal anesthesia in inguinal hernia surgery.
Methods: This research is a retrospective comparative study. The study was patients with inguinal hernias who were treated at Yasothon Hospital. From October 2022 to September 2023, there were 162 cases, divided into a group that received local anesthesia (81 cases) and a group that received intrathecal anesthesia (81 cases). Comparing the results of the length of surgery, pain level, use of painkillers, length of hospital stay, complications, and medical expenses Statistical analysis of data was performed using independent samples t-test, chi-square test, and Fisher's exact test.
Results: The local anesthesia group compared with the spinal anesthesia group found that the surgery time was 23.86 minutes less (95% CI: -29.77 to -17.95, p = 0.002), and the pain level was greater after 6 hours. Surgery was 2.10 points higher (95% CI: 1.85 to 2.35, p < 0.001), but there was no difference at 12 hours. Use of analgesics the proportion of drug use was higher at 56.7 percent (95% CI: 45.37 to 68.21, p < 0.001). The amount of drug in the first 24 hours was more than 15.34 mg (95% CI: 14.63 to 16.05, p < 0.001). The length of hospital stay was short. Over 28.74 hours (95% CI: -32.04 to -25.44, p < 0.001), and the treatment cost was lower than 3,884.33 baht (95% CI: -3,895.35 to -3,873.31, p = 0.001) with statistical significance (p<0.05). As for complications, no significant difference was found. Significance between the two groups.
Conclusions: Local anesthesia is appropriate for inguinal hernia surgery. It has the advantage of surgery time. Length of hospital stay and lower costs Even though the pain level was higher in the beginning, it can be controlled with painkillers. And no differences were found in complications. The selection of anesthesia methods should be considered according to the suitability of each patient.
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