Spinal or General Anesthesia for Inguinal Hernia Repair?

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Abstract
In 514 patients scheduled for inguinal hernia repair, either spinal or general anesthesia was chosen at random. Postoperatively, the incidence of urinary retention and catheterization, gastrointestinal disturbances, nonspecific and postspinal headaches, back complaints, and respiratory complications was recorded. The complications occurring in 236 patients after spinal anesthesia were compared with the occurrence of identical complications in 278 patients who received general anesthesia. Vomiting but not nausea was significantly greater in the general anesthesia group. All other complications, except postspinal headaches, occurred with approximately the same frequency in both groups. Unexpectedly, spinal anesthesia was followed by a relatively high incidence of nausea. Two patients developed atelectasis, both after spinal anesthesia.

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