Comparative study between the characteristics of unilateral spinal and paravertebral neuraxial blockade in patients undergoing inguinal herniorrhaphy

Abstract

Background: A Comparative study between the characteristics of unilateral and paravertebral neuraxial blockade in patients undergoing inguinal herniorraphy.Materials and Methods: This is a prospective, randomised study conducted on 120 patients of either sex, aged 18-60 years, ASA grade I and II scheduled for elective unilateral herniorraphy using unilateral spinal anaesthesia or paravertebral neuraxial blockade.Results: Spinal anaesthesia group had shown significantly lesser requirement of postop analgesia, good quality of recovery and attainment of early ambulation and cost significantly less compare to TIVA group. All the results were significant statistically and have correlated well with the studies in reference.Conclusion: We concluded that the paravertebral block can be the choice of anaesthesia as a far superior and safe anaesthesia option to unilateral spinal anaesthesia for open unilateral inguinal hernia repair, as it yields unilateral and segmental anaesthesia, extended postoperative analgesia and decreased rescue analgesia demand postoperatively. Paravertebral block also helps in early ambulation, early readiness for discharge from hospital (bypass PACU), stable intra-operative hemodynamics, and minimal adverse effects.