Aim: Comparison of Lichtenstein hernioplasty under spinal anaesthesia v/s local anaesthesia with respect to clinical outcome of hernioplasty based on preoperative, intra operative and postoperative factors (pain, complication, duration of stay in hospital) and also to evaluate proper technique for painless procedure in between spinal anaesthesia and local anaesthesia. Methods: The present study was conducted by Department of General Surgery at Department of General Surgery, Jawaharlal Nehru medical College and hospital, Bhagalpur, Bihar, India. The study was conducted during the period for six months which included all patients undergoing hernioplasty operation for unilateral inguinal hernia repair during the study period. Results: The mean (±standard deviation) age of the participants put under local anesthesia, i.e. the A group was 40.5 (±8.6). While those in the B group i.e. those who were given spinal anesthesia had a mean (±standard deviation) age of 42.8 (±8.7). Unclear anatomy was observed in 11 patients of the A group and 8 patients of the A group. Increased muscle tone was observed in 7 patients in A group and 5 patients of the B group. However, cauterization difficulty was different in proportion in A group and B group, which was statistically significant on Fisher’s Exact Test (p<0.001). Conclusion: The study concludes that local anesthesia certainly has some advantages over spinal anesthesia – postoperative pain and postoperative complications like urinary retention, headache, and hypotension were more evident in spinal anesthesia.

Aim: Comparison of Lichtenstein hernioplasty under spinal anaesthesia v/s local anaesthesia with respect to clinical outcome of hernioplasty based on preoperative, intra operative and postoperative factors (pain, complication, duration of stay in hospital) and also to evaluate proper technique for painless procedure in between spinal anaesthesia and local anaesthesia. Methods: The present study was conducted by Department of General Surgery at Department of General Surgery, Jawaharlal Nehru medical College and hospital, Bhagalpur, Bihar, India. The study was conducted during the period for six months which included all patients undergoing hernioplasty operation for unilateral inguinal hernia repair during the study period. Results: The mean (±standard deviation) age of the participants put under local anesthesia, i.e. the A group was 40.5 (±8.6). While those in the B group i.e. those who were given spinal anesthesia had a mean (±standard deviation) age of 42.8 (±8.7). Unclear anatomy was observed in 11 patients of the A group and 8 patients of the A group. Increased muscle tone was observed in 7 patients in A group and 5 patients of the B group. However, cauterization difficulty was different in proportion in A group and B group, which was statistically significant on Fisher’s Exact Test (p<0.001). Conclusion: The study concludes that local anesthesia certainly has some advantages over spinal anesthesia – postoperative pain and postoperative complications like urinary retention, headache, and hypotension were more evident in spinal anesthesia.