Patient Satisfaction Stratification in Inguinal Hernia Surgery Under Local Anesthesia –Experience of 650 Patients
Balakh Sher Zaman, Ch M.Kamran, M. Faheem Anwer, Shahid Majeed, Adnan Faisal, M. Mubashir Zulfiqar, Amna Shahid
2519
ABSTRACT
Aim: To evaluate patient satisfaction
undergoing inguinal hernia surgery under local anesthesia.
Methods: The study was conducted in Jinnah
hospital, Lahore from 2014 to 2019 including 650 clinically diagnosed patients
with direct or indirect inguinal hernia with age ranging 20 to 60 years. All of
these patients were operated in dedicated day care operation-theater of
surgical department, where hernia surgeries under local anesthesia were done on
daily basis 6 days a week. We assessed satisfaction in all patients undergoing
inguinal hernia surgery with monitoring during anesthesia care known as iowa
satisfaction with small anesthesia scale.
Results: 80% of patients were between 20 to
45 years of age with male to female ratio 99: Right inguinal hernia patients
were 55% and 45% with left inguinal hernia. In the proforma of 11
questionnaire, 96 % patients were found satisfied with the quality of
anesthesia care with varying satisfactions ranging above 90 % regarding pain,
feeling like throwing up, feeling relaxed as well as feeling hurt.
Conclusion: Inguinal hernia surgery under
local anesthesia is found profoundly satisfactory with regard to anesthetic
care. Local anesthesia hernial surgery has satisfactory patient acceptability
similar to those observed in a conventional regional/general anesthesia in
tertiary care setup.
Keywords: Inguinal hernia, local anaesthesia, satisfaction