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Quality of life after laparoscopic trans-abdominal pre-peritoneal inguinal hernia repair: spinal vs general anesthesia

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Abstract

Purpose

The aim of the present study was to evaluate the effect of the anesthesia type on the postoperative quality of life in patients who underwent trans-abdominal pre-peritoneal (TAPP) inguinal hernia repair.

Methods

In this study, 70 patients submitted to TAPP for inguinal hernia repair, were randomized between spinal and general anesthesia. Overall, 58 patients completed the follow-up process and were, therefore, included. The quality of life evaluation was based on the SF-36 questionnaire. Significance was considered at the level of P < 0.05

Results

General anesthesia was applied to 31 patients, whereas 27 operations were performed under spinal anesthesia. Except gender, the two study subgroups were similar in terms of demographics. Although spinal anesthesia displayed higher energy, emotional health, and general health scores these findings were not statistically significant. A positive correlation was identified between age and physical and emotional role. Operative time was associated with the estimated energy and general health.

Conclusion

Our study could not identify a difference between spinal and general anesthesia on the postoperative quality of life. Spinal anesthesia is as effective as general anesthesia and remains an attractive anesthetic alternative for TAPP inguinal hernia repair. Given several study limitations, further high-quality trials are required.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Anesthesiology, University Hospital of Larissa, Mezourlo, 41110, Larissa, Greece

    C. Sarakatsianou & S. Georgopoulou

  2. Department of Surgery, University Hospital of Larissa, Mezourlo, 41110, Larissa, Greece

    I. Baloyiannis, K. Perivoliotis & G. Tzovaras

Authors
  1. C. Sarakatsianou
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  2. I. Baloyiannis
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  3. K. Perivoliotis
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  4. S. Georgopoulou
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  5. G. Tzovaras
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Correspondence to C. Sarakatsianou.

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The study was approved by the Institution Ethis Commitee with the registration number of UTH5535/12/11.

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The research was conducted according to the principles of the World Medical Association Declaration of Helsinki “Ethical principles for Medical Research Involving Human Subjects”.

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Sarakatsianou, C., Baloyiannis, I., Perivoliotis, K. et al. Quality of life after laparoscopic trans-abdominal pre-peritoneal inguinal hernia repair: spinal vs general anesthesia. Hernia 25, 789–796 (2021). https://doi.org/10.1007/s10029-020-02313-4

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