Comparison of Spinal with Paravertebral Block for Elective Open Inguinal Hernia Repair
Manjaree Mishra, Shashi Prakash Mishra and Somendra Pal Singh
World Journal of Medical Research 2016, 5:1
inguinal hernia surgery is one of the commonest surgical procedures. There are
many modalities of anaesthesia for the procedure but the desirable would be one
having prolonged analgesia with less motor block.
compare the hemodynamic changes, procedure time, time taken for onset of effect
and time till there is persistence of effect (hence the requirement of
analgesics) between PVB and SA for inguinal hernia repair.
study included total 6o patients undergoing elective inguinal hernia repair;
randomized into two groups having 30 each. Group 1 received paravertebral block
and group received spinal anaesthesia. The parameters like age, mean arterial
pressure (before and after block), heart rate (before and after block), procedural
time, time taken to onset of effect and time for appearance of post operative
pain were noted. Statistical Analysis was done for the final correlation.
mean arterial pressure and heart rate after the block was significantly higher
in group 1. The procedural time and time for the onset of effect was also
significantly more in group 1. However there was no motor blockage and
significantly prolonged post operative analgesia in group 1.
The paravertebral block is
certainly better aesthetic modality for the inguinal hernia repair but requires
more expertise and time taken in procedure.
Spinal, Paravertebral, inguinal