Pain during and after-hernioplasty in raquidian or locorregional anesthesia by locking peripheral nerves
To analyze pain scores after surgery in a group of patients submitted to inguinal hernia repair under peripheral nerve block with local or spinal anesthesia.
Fifty patients were divided into two groups (both with 25 patients each). In the first group the patients were submitted to herniorrhaphy under peripheral block and local anesthesia (LG) and in the other group the patients were submitted to the same procedure under spinal anesthesia (RG). The pain was assessed using the international visual analog pain scale at four different moments. The analysis cost of the procedure was performed using the hospital’s average final cost, without including medical expenses.
The groups were homogeneous in relation to the epidemiological and clinical features. There was no significant difference between the pain in the intraoperative period and in the return visit for both groups (p = 0.17 and p = 0.18). In the immediate postoperative period, both groups reported no pain at all. In general, the RG reported a greater pain score (16% for RG and 12% for LG). Complications were more frequent in patients submitted to spinal anesthesia (40% versus 8%) (p = 0.008). The surgical time was higher in the LG (39.3 ± 9.2 min) versus (28.7 ± 7.5 min) (p = 0.01). The average final cost of the procedure was US$ 100.98 for the LG and US$ 166.19 for the RG (p = 0.00).
The inguinal hernioplastia under local anesthesia plus sedation is a safe method, with a low incidence of complications, great acceptance by patients and less expensive.
KeywordsInguinal hernioplasty Local anesthesia Spinal anesthesia Pain
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
This research was approved by the CEP Research Ethics Committee of the Santa Casa Institute of Teaching and Research of Belo Horizonte, under the protocol registered under the number of CAE: 42810815.3.0000.5138.
Statement of human and animal rights
All procedures and protocols adopted in this research involving human beings were performed according to the ethical standards of the institutional and/or national reserarch committee and the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authours.
Informed Consent was obtained from all individuals who were included in this study.
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