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- Title
Laparoscopic Total Extraperitoneal (TEP) Inguinal Hernia Repair under Spinal Anesthesia vs General Anesthesia: A Prospective Study.
- Authors
Tantiwattanasirikul, Prawit; Saenghirunvattana, Rungsima
- Abstract
Objective: To compare the safety, cost and effectiveness of laparoscopic total extraperitoneal hernia repair (TEP) under spinal anesthesia (SA) with those of TEP under general anesthesia (GA). Materials and methods: Between June 2012 and June 2013, 60 patients undergoing laparoscopic TEP under spinal and general anesthesia at Priest Hospital were prospectively followed. The demographic data, intraoperative events, pain score, analgesic use, anesthesia cost and complications were recorded. Results: There were 30 patients in each group. Unilateral/bilateral hernias in SA and GA groups were 26/4 and 23/7 respectively. No patient in the SA group was converted to GA. Ten patients (33%) in the SA group complained of shoulder or chest discomfort and required sedation. There were no significant differences in pain scores at 4 and 24 hours, meperidine doses or postoperative complications between the two groups. Cost to the patients was less in the SA group. Conclusion: Laparoscopic TEP under SA was as safe and effective as that performed under GA but was less expensive. Laparoscopic TEP under SA could be an alternative for patients who have contraindications to GA.
- Subjects
LAPAROSCOPIC surgery; INGUINAL hernia; SPINAL anesthesia; GENERAL anesthesia; FOLLOW-up studies (Medicine); DEMOGRAPHIC databases; INTRAOPERATIVE care; MEDICAL care costs; THERAPEUTICS
- Publication
Thai Journal of Surgery, 2013, Vol 34, Issue 3, p66
- ISSN
0125-6068
- Publication type
Article