Laparoscopic total extraperitoneal repair under spinal anesthesia versus general anesthesia: a randomized prospective...

Area of Science:

• Anesthesiology
• Surgical Innovation
• Hernia Repair

Background:

• Laparoscopic total extraperitoneal (TEP) inguinal hernia repair is commonly performed under general anesthesia (GA).
• Limited data exists comparing spinal anesthesia (SA) with GA for this laparoscopic procedure.

Purpose of the Study:

• To compare the surgical outcomes of TEP inguinal hernia repair under SA versus GA.

Main Methods:

• Prospective randomized study of 50 patients undergoing TEP repair.
• Group I: General anesthesia (GA) with tracheal intubation.
• Group II: Spinal anesthesia (SA) using bupivacaine and fentanyl to T3 sensory level.

Main Results:

• No conversions from SA to GA were necessary.
• SA group reported significantly less pain at 1 and 4 hours post-procedure.
• No significant differences in complications, hospital stay, or surgery time.
• Patients reported higher satisfaction with SA compared to GA.

Conclusions:

• TEP inguinal hernia repair can be safely performed using SA.
• SA is associated with reduced postoperative pain, improved recovery, and enhanced patient satisfaction over GA.