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Published in: Hernia 6/2019

01-12-2019 | Spinal Anesthesia | Original Article

Pain during and after-hernioplasty in raquidian or locorregional anesthesia by locking peripheral nerves

Authors: P. M. F. de Souza, L. C. Ferreira, L. F. S. Marinari, J. C. M. Brandão, P. S. Carneiro, D. P. C. Garcia, A. Petroianu, L. R. Alberti

Published in: Hernia | Issue 6/2019

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Abstract

Purpose

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.

Methods

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.

Results

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).

Conclusion

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.
Literature
1.
go back to reference O'Rourke MG, O'Rourke TR (2012) Inguinal hernia: aetiology, diagnosis, post-repair pain and compensation. ANZ J Surg 82:201–206CrossRef O'Rourke MG, O'Rourke TR (2012) Inguinal hernia: aetiology, diagnosis, post-repair pain and compensation. ANZ J Surg 82:201–206CrossRef
2.
go back to reference Prakash D et al (2017) Local anaesthesia versus spinal anaesthesia in inguinal hernia repair: a systematic review and meta-analysis. Surgeon 15:47–57CrossRef Prakash D et al (2017) Local anaesthesia versus spinal anaesthesia in inguinal hernia repair: a systematic review and meta-analysis. Surgeon 15:47–57CrossRef
3.
go back to reference Bourgouin S et al (2017) Feasibility and limits of inguinal hernia repair under local anaesthesia in a limited resource environment: a prospective controlled study. Hernia 21:749–757CrossRef Bourgouin S et al (2017) Feasibility and limits of inguinal hernia repair under local anaesthesia in a limited resource environment: a prospective controlled study. Hernia 21:749–757CrossRef
4.
go back to reference Nikkolo C, Lepner U (2016) Chronic pain after open inguinal hernia repair. Postgrad Med 128:69–75CrossRef Nikkolo C, Lepner U (2016) Chronic pain after open inguinal hernia repair. Postgrad Med 128:69–75CrossRef
5.
go back to reference Salma U et al (2015) A comparison of post operative pain and hospital stay between Lichtenstein’s repair and Laparoscopic Transabdominal Preperitoneal (TAPP) repair of inguinal hernia: a randomized controlled trial. Pak J Med Sci 31:1062–1066PubMedPubMedCentral Salma U et al (2015) A comparison of post operative pain and hospital stay between Lichtenstein’s repair and Laparoscopic Transabdominal Preperitoneal (TAPP) repair of inguinal hernia: a randomized controlled trial. Pak J Med Sci 31:1062–1066PubMedPubMedCentral
6.
go back to reference Ertem M et al (2015) Topic: inguinal hernia—post op chronic pain: incidence, evaluation, legal consequences, therapy, follow up. Hernia 19(Suppl 1):S361CrossRef Ertem M et al (2015) Topic: inguinal hernia—post op chronic pain: incidence, evaluation, legal consequences, therapy, follow up. Hernia 19(Suppl 1):S361CrossRef
7.
go back to reference Wu CC et al (2014) Local anesthetic infusion pump for pain management following open inguinal hernia repair: a meta-analysis. Int J Surg 12:245–250CrossRef Wu CC et al (2014) Local anesthetic infusion pump for pain management following open inguinal hernia repair: a meta-analysis. Int J Surg 12:245–250CrossRef
8.
go back to reference Neto EVL et al (2003) Resultados imediatos da herniorrafia inguinal com anestesia local associada com sedação. Acta Cir Bras 18:7 Neto EVL et al (2003) Resultados imediatos da herniorrafia inguinal com anestesia local associada com sedação. Acta Cir Bras 18:7
9.
go back to reference Nesioonpour S et al (2013) The effect of preemptive analgesia with bupivacaine on postoperative pain of inguinal hernia repair under spinal anesthesia: a randomized clinical trial. Hernia 17:465–470CrossRef Nesioonpour S et al (2013) The effect of preemptive analgesia with bupivacaine on postoperative pain of inguinal hernia repair under spinal anesthesia: a randomized clinical trial. Hernia 17:465–470CrossRef
10.
go back to reference Donati M et al (2013) Incidence of pain after inguinal hernia repair in the elderly. A retrospective historical cohort evaluation of 18-years’ experience with a mesh and plug inguinal hernia repair method on about 3000 patients. BMC Surg 13(Suppl 2):S19CrossRef Donati M et al (2013) Incidence of pain after inguinal hernia repair in the elderly. A retrospective historical cohort evaluation of 18-years’ experience with a mesh and plug inguinal hernia repair method on about 3000 patients. BMC Surg 13(Suppl 2):S19CrossRef
11.
go back to reference Campanelli G et al (2013) Surgical treatment of chronic pain after inguinal hernia repair. Hernia 17:347–353CrossRef Campanelli G et al (2013) Surgical treatment of chronic pain after inguinal hernia repair. Hernia 17:347–353CrossRef
12.
go back to reference Britton DC (2013) Prospective study of pain, quality of life and economic impact of open inguinal hernia repair (Br J Surg 2013; 100: 1483–1488). Br J Surg 100:1489CrossRef Britton DC (2013) Prospective study of pain, quality of life and economic impact of open inguinal hernia repair (Br J Surg 2013; 100: 1483–1488). Br J Surg 100:1489CrossRef
13.
go back to reference Shaikh AR et al (2012) Inguinal mesh hernioplasty under local anaesthesia. J Pak Med Assoc 62:566–9PubMed Shaikh AR et al (2012) Inguinal mesh hernioplasty under local anaesthesia. J Pak Med Assoc 62:566–9PubMed
14.
go back to reference Voropai DA, Akkersdijk WL (2015) Nerve management and chronic pain after open inguinal hernia repair. Ann Surg 261:e11–12CrossRef Voropai DA, Akkersdijk WL (2015) Nerve management and chronic pain after open inguinal hernia repair. Ann Surg 261:e11–12CrossRef
15.
go back to reference Kurmann A et al (2015) Effect of intraoperative infiltration with local anesthesia on the development of chronic pain after inguinal hernia repair: a randomized, triple-blinded, placebo-controlled trial. Surgery 157:144–154CrossRef Kurmann A et al (2015) Effect of intraoperative infiltration with local anesthesia on the development of chronic pain after inguinal hernia repair: a randomized, triple-blinded, placebo-controlled trial. Surgery 157:144–154CrossRef
16.
go back to reference Callesen T (2003) Inguinal hernia repair: anaesthesia, pain and convalescence. Dan Med Bull 50:203–218PubMed Callesen T (2003) Inguinal hernia repair: anaesthesia, pain and convalescence. Dan Med Bull 50:203–218PubMed
17.
go back to reference Schwab R et al (2004) Systemic inflammatory response after endoscopic (TEP) vs Shouldice groin hernia repair. Hernia 8:226–232CrossRef Schwab R et al (2004) Systemic inflammatory response after endoscopic (TEP) vs Shouldice groin hernia repair. Hernia 8:226–232CrossRef
18.
go back to reference Kulacoglu H et al (2007) Prospective comparison of local, spinal, and general anesthesia regarding oxidative stress following Lichtenstein". Bratisl Lek Listy 108:335–339PubMed Kulacoglu H et al (2007) Prospective comparison of local, spinal, and general anesthesia regarding oxidative stress following Lichtenstein". Bratisl Lek Listy 108:335–339PubMed
19.
go back to reference Rahr HB et al (2006) Coagulation, inflammatory, and stress responses in a randomized comparison of open and laparoscopic repair of recurrent inguinal hernia. Surg Endosc 20:468–472CrossRef Rahr HB et al (2006) Coagulation, inflammatory, and stress responses in a randomized comparison of open and laparoscopic repair of recurrent inguinal hernia. Surg Endosc 20:468–472CrossRef
Metadata
Title
Pain during and after-hernioplasty in raquidian or locorregional anesthesia by locking peripheral nerves
Authors
P. M. F. de Souza
L. C. Ferreira
L. F. S. Marinari
J. C. M. Brandão
P. S. Carneiro
D. P. C. Garcia
A. Petroianu
L. R. Alberti
Publication date
01-12-2019
Publisher
Springer Paris
Published in
Hernia / Issue 6/2019
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-019-02039-y

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