World Journal of Medical Research Volume No 6

Original Article Open Access

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

Abstract

Background

The 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.

Aim

to 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.

Material and Method

The 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.

Results

The 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.

Conclusion

The paravertebral block is certainly better aesthetic modality for the inguinal hernia repair but requires more expertise and time taken in procedure.

Key words

Spinal, Paravertebral, inguinal hernia, Anesthesia




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