Vázquez-Mellado DA, Vázquez CJA, Gutiérrez ÁI, Mayagoitia GJC, Fernández Vázquez-Mellado LA, Cornejo MLM

Language: Spanish
References: 7
Page: 252-255
PDF size: 53.01 Kb.

ABSTRACT

Introduction: Tension-free hernioplasties performed under an ambulatory scheme and local anesthesia constitute a standardized practice in many countries, but ours is an exception.
Objective: To compare local anesthesia (LA) versus peridural block (PDB) during a tension-free inguinal hernioplasty performed as ambulatory surgery.
Setting: Private second health care hospital.
Patients and methods: Comparative, longitudinal, and prospective study, with a non-randomized chronological distribution. Fifty three tension-free plasties were performed under PDB and 78 under LA. All patients were evaluated through a questionnaire during the immediate post-operative period, to document the intensity and duration of pain.
Results: In the LA group pain was absent or moderate in 80% of the patients (74/78), in the PDB group the same pain intensity was found in 81% of the patients (43/53), revealing no statistically significant difference. Intense to very intense pain was found in 18% of the PDB (10/53) patients and in 5% of the LA group (4/78), revealing a statistical significance (p ‹ 0.025). In group LA, postoperative pain lasted 7 or fewer days in 69.7% (54/78) as compared to 64% of group PDB (34/53). The largest duration, over 7 days, was found in 30% of group LA as compared to 36% in group PDB (19/53) (p ‹ 0.01).
Conclusion: Patients of group LA depicted less intensity and duration of postoperative pain as compared to the PDB group in tension-free inguinal hernioplasties.

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