Local anesthesia with propofol infusion versus spinal anesthesia for groin hernia repair

الملخص EN

Objectives : Compare local anesthesia with propofol sedation, and spinal anesthesia for groin hernia repair, with respect to recovery times, perioperative complications and patient satisfaction.

Setting and design : This is a prospective study conducted in prince Hashim military hospital, Zarqa.

Methods : Eighty Four patients randomly divided into two groups.

LA group (n = 42) received 0.5 mg / kg propofol injected slowly prior to the injection of 60 ml 0.5 % xylocaine with adrenaline (1 : 200,000), followed by propofol infusion 0.04 mg / kg / min.

SA group (n = 42) received 2ml 0.5 % heavy bupivacaine into the subarachnoid space.

Perioperative complications, visual analogue pain scale score for three days, patient satisfaction and hospital stay were recorded and assessed.

Results : Patients in spinal anesthesia group spent more time in operating theatre and recovery room.

22 patients (52.4 %) with local anesthesia left the hospital on the same day of surgery, compared to only 14 patients (33.3 %) in spinal anesthesia group.

The mean patients satisfaction score was 2.47 in the local anesthesia group and 2.19 in spinal anesthesia group; the difference is not statistically significant.

Postoperative complications occurred in four patients in spinal anesthesia group (2 urinary retention and 2 spinal headache).