Spinal Anesthesia Comparable Not Superior to General Anesthesia for Inguinal Hernia Repair: Study Reveals
Nepal: A recent study published in the Journal of Nepal Health Research Council has revealed that spinal anesthesia is equally effective as, if not superior to, general anesthesia for total extraperitoneal inguinal hernia repair. The researchers suggest that it could be a preferable anesthetic choice for patients at high risk for complications associated with general anesthesia.
Inguinal hernia repair is one of the most common surgical procedures performed worldwide. Among various approaches, Total Extra Peritoneal (TEP) repair is a minimally invasive technique that has gained popularity for treating inguinal hernias. However, one critical consideration in the procedure is the choice of anesthesia. Traditionally, general anesthesia has been used, but recent studies have raised the question of whether spinal anesthesia can be an equally effective or even better alternative.
Against the above background, Udita Mishra and Ghanashyam Thapa from the National Academy of Medical Sciences in Bir Hospital, Mahabouddha, Kathmandu, Nepal, aimed to compare the outcomes of Total Extra Peritoneal inguinal hernia repair performed under spinal anesthesia versus general anesthesia.
For this purpose, the researchers conducted a prospective cross-sectional study at Bir Hospital, focusing on patients undergoing Total Extra Peritoneal inguinal hernia repair under either spinal anesthesia or general anesthesia between September 2022 and August 2023. The study compared various factors, including operative time, postoperative hospitalization duration, postoperative pain, adverse effects, patient satisfaction levels, and the recurrence rate after one year.
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