Saturday, 12 June 2010

LA Vs GA, Closed Vs Open

The advantages of local anaesthetic are:
1. Quicker recovery time allowing for earlier discharge.
2. The local injection will act as pain relief over the hernia area for a period of time after the operation has finished
3. Less risks associated if you have any other concurrent illnesses eg:lungs or heart

The disadvantages of local:
1. The patient will be awake
2. The patiemt may flee pressure over that over during the operation
3. there is increased liklihood of local structure damage

Laparoscopic:
advantages are:
*less painful
*earlier discharge
*smaller incisional site

disadvantages are:
*more expensive
*risk of conversion to open
*always need a general anast
*unsuitable for some hernias

Open surgery
advantages are:
*can be done under local or general
*has been performed by more surgeons for a longer period of time
*suitable for alll types of hernias

disadvantages:
*longer hospital stay
*more painful post op

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