Original Research Article
Year: 2020 | Month: August | Volume: 10 | Issue: 8 | Pages: 6-9
Is Open Mesh Hernioplasty under Local Anesthesia A Better Option in Peripheral Health Center: A Study from a Peripheral Health Care Centre in Trans Himalayan Region
Raj kumar1, Rahul Gupta2, Anjali Sharma3, Rajesh Chaudhary4
1MS General Surgery, Civil Hospital Baijnath, Himachal Pradesh
2MD Community Medicine, District Programme Officer, Health and Family Welfare, Himachal Pradesh
3Resident Doctor, Department of Microbiology, DRPGMC Kangra at Tanda, Himachal Pradesh
4MS General Surgery, Civil Hospital Nagrota Bagwan, Himachal Pradesh
Corresponding Author: Rahul Gupta
ABSTRACT
Open mesh Hernioplasty is a very common operation done worldwide.1 Many alternatives of anesthesia for the operation such as general anesthesia, regional anesthesia (spinal, epidural) and local anesthesia has been introduced till now. This descriptive observational study was done in a Civil Hospital of District Kangra Himachal Pradesh for a period of 10 months from June 2019 through April 2020. This study included 57 cases of males with single sided reducible incomplete uncomplicated inguinal hernia. The Mean age of the patients was 39 years (SD 11.4 years) within the range of 32-69 years. All the patients tolerated the procedure very well and were uneventful and no Intra operative complications were documented. We also observed for post operative complications such as Hematoma, urinary retention, nausea, vomiting, wound sepsis, testicular swelling and recurrent of hernia. No such post operative complications were found. Mesh hernioplasty under local anesthesia may be considered as a better option in peripheral health care centre.
Key words: Hernioplasty, Peripheral Health Settings, North India