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

ABSTRACT

Compare local anesthesia with propofol sedation, and spinal anesthesia for groin hernia repair, with respect to recovery times, preoperative complications and patient satisfaction. Setting and design: This is a prospective study conducted in prince Hashim military hospital, Zarqa. 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 [1200.000], 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. 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].Inguinal local infiltration anesthesia with propofol sedation for repair of groin hernia resulted in shorter hospital stay, more postoperative patient's satisfaction and no complications compared with spinal anesthesia