The purpose of the study is to assess whether spinal anesthesia is superior to the standard general anesthesia or not for patients undergoing transabdominal preperitoneal inguinal hernia repair (TAPP).
Anesthesia for laparoscopic procedures, including transabdominal preperitoneal inguinal hernia repair(TAPP) is synonymous with general anesthesia because of the adverse effects of the CO2 pneumoperitoneum on the awake patient, and regional anesthesia is preferred only in patients where general anesthesia is contraindicated. Α pilot study of our hospital has recently shown the feasibility to perform successfully and safely transabdominal preperitoneal inguinal hernia repair with low pressure CO2 pneumoperitoneum under spinal anesthesia.After this pilot study and based on previous experience in regional anesthesia for laparoscopic procedures, we designed a controlled randomized trial in order to compare spinal anesthesia with the standard general anesthesia for patients undergoing transabdominal preperitoneal inguinal hernia repair (TAPP).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
140
Transabdominal Preperitoneal (TAPP) repair of inguinal hernia using CO2 pneumoperitoneum under spinal anesthesia
Transabdominal Preperitoneal (TAPP) repair of inguinal hernia using CO2 pneumoperitoneum under general anesthesia
University Hospital of Larissa
Larissa, Greece
Postoperative opioid consumption
The total dose of morphine was calculated as mg and administered by PCA pump
Time frame: Every 8 hours
Postoperative pain
NRS = numeric rating scale 0-10 mm (0=no pain to 10= worst imaginable pain)
Time frame: Every 8 hrs
Side- effects
To determine the occurrence of side effects such as postoperative nausea,vomiting, itching, headache, shoulder pain, urinary retention, etc
Time frame: Every 8 hrs
Hospital stay
Time frame: Patients will be followed for the duration of hospital stay
Patient satisfaction
Time frame: 2 weeks after the operation
Chronic Pain
Time frame: 12 months after the operation
Quality of life
SF 36 questionnaire
Time frame: 6 months after the operation
Complications
seroma, hematoma, infection, recurrence of hernia, etc
Time frame: 1 year
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