Assessment of postoperative pain and hospital discharge after inguinal and iliohypogastric nerve block for inguinal hernia repair under spinal anesthesia: a prospective study

Santos, Guilherme de Castro; Braga, Gisela Magalhães; Queiroz, Fábio Lopes de; Navarro, Túlio Pinho; Gomez, Renato Santiago

doi:10.1016/s0104-4230(11)70109-9

Cited by 9 publications

(5 citation statements)

References 20 publications

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“…2018; 28(3):e65146. In all anesthesia methods, to which II/IH was added, (general anesthesia/regional anesthesia/sedation), better and effective postoperative analgesia, lower pain scores and longer painlessness period were observed in the group to which the block was applied (6,(11)(12)(13)(14). Parallel to the literature, in the present study, the longest analgesia duration was observed in the ketamine-supported II/IH block group and this period was determined as 6.1 ± 3.5 hours.…”

Section: Discussionmentioning

confidence: 99%

Contribution of Ultrasound-Guided Ilioinguinal/Iliohypogastric Block To Intraoperative Anesthesia In Children - Randomized Controlled Study

Küpeli

Biçer

2018

Iran J Pediatr

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Objectives: The aim of this study was to investigate the effect of ilioinguinal/iliohypogastric nerve block (II/IH) only supported by ketamine sedation on intraoperative anesthesia and analgesia. Methods: A total of 60 patients aged between 2 and 6 years, were included in the study. The patients were divided into three groups: 1) the II/IH block and ketamine group, 2) the II/IH block by inserting the laryngeal mask (LMA) and sevoflurane group, and 3) the LMA and sevoflurane group. Peroperative heart rate (HR), mean arterial pressure (MAP), amount of sevoflurane used, postoperative pain scores, number of children needing rescue analgesia, and time required for the first analgesia were recorded. Results:The patients, consisting of 34 males and 26 females had an average age of 4 ± 1.3 years. There was no difference in terms of HR and MAP between the ketamine + block applied group and LMA + block applied group; however, HRs were higher and MAPs were lower in the group in which no block was added but only sevoflurane maintenance was provided and the amount of sevoflurane used significantly decreased in the group supported by (II/IH) block (P < 005). In the postoperative period, the HR, MAP and pain scores were higher in the group with no added block but this difference was significant in the first 6 hours (P < 0.05). Rescue analgesia was applied to a fewer of patients in the groups with added blocks and nausea-vomiting occurred only in the group without block. It was observed that analgesia was needed in average for 6.1 hours in the block group to which ketamine was applied; 4.7 hours in average in the block group to which LMA was applied; and for 2.1 hours in average in the group not supported by block (P < 0.05). Conclusion: In this study, it was determined that II/IH block added to general anesthesia or sedation in pediatric lower abdominal surgery reduced the need for intraoperative anesthesia, provided a more stable intraoperative hemodynamics and analgesia, and provided less pain scores, longer analgesia duration, and shorter analgesia need in the postoperative period.

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Section: Discussionmentioning

confidence: 99%

Contribution of Ultrasound-Guided Ilioinguinal/Iliohypogastric Block To Intraoperative Anesthesia In Children - Randomized Controlled Study

Küpeli

Biçer

2018

Iran J Pediatr

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“…[13] IH onarımı yapılan erişkin hastalarda; SA veya SA+IHNB+cerrahi yara infiltrasyonu uygulamalarını ameliyat sonrası ağrı, analjezik tüketimi ve taburcu olma süreleri bakımından kaşılaştırmışlardır. IHNB uygulamasında %0.75 ropivakain 10 ml, cerrahi yara infiltrasyonunda %0.75 ropivakain 10 ml kullanılmıştır.…”

Section: Discussionunclassified

Comparison of Ilioinguinal-İliohypogastric Nerve Block versus Spinal Anesthesia Techniques for Single Sided Inguinal Herniorrhaphy

Gurkan¹,

Ütebey²,

Özlü³

2013

Agri

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“…En la década del 50, Shouldice publicó su experiencia con una técnica quirúrgica propia, empleando de rutina la anestesia local; desde entonces esta técnica se ha usado con una frecuencia cada vez mayor para la herniorrafia inguinal con resultados excelentes 3 . La evidencia actual sostiene que la anestesia local tiene una recuperación intrahospitalaria más corta, lo que favorece el manejo ambulatorio de los pacientes, con menor morbilidad y menor costo 4,5 . Sin embargo, a pesar de estas ventajas este tipo de anestesia es raramente usado fuera de los centros quirúrgicos dedicados a hernias [6][7][8] .…”

Section: Introductionunclassified

“…El bloqueo ilioinguinal-iliohipogástrico fue descrito inicialmente para lograr la analgesia posoperatoria en intervenciones quirúrgicas del hemiabdomen inferior 11 . Sus indicaciones se extendieron luego al tratamiento del dolor agudo y crónico de la región inguinal, y al tratamiento quirúrgico de la hernia inguinal no complicada 5 . La técnica aprovecha la neuroanatomía de la región inguinal y bloquea directamente las principales ramas nerviosas que inervan la zona que se va a operar.…”

Section: Introductionunclassified

Anestesia local para hernia inguinal mediante bloqueo ilioinguinal-iliohipogástrico

Aragón¹,

Hernández²,

Robaina³

et al. 2016

Rev Colomb Cir

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Introducción. La hernia inguinal es uno de los padecimientos más comunes que ameritan manejo quirúrgico y puede ser reparada utilizando anestesia local. El bloqueo ilioinguinal-iliohipogástrico es una técnica novedosa y poco evaluada para practicar la hernioplastia inguinal. Objetivos. Evaluar la seguridad y la efectividad de esta técnica en nuestro medio hospitalario. Material y métodos. Se llevó a cabo un estudio observacional y prospectivo que incluyó a todos los pacientes operados con anestesia local por la técnica del bloqueo ilioinguinal-iliohipogástrico, desde el 2009 hasta el 2014. Se estudiaron las variables demográficas, el tipo de hernia según la clasificación de Nyhus, las técnicas quirúrgicas empleadas, el tiempo quirúrgico, las complicaciones posoperatorias inmediatas (menos de 30 días) y el dolor posoperatorio evaluado mediante la escala visual análoga a las 24 y 72 horas, y a los 10 y 30 días. Resultados. La hernia inguinal indirecta se presentó en 409 pacientes (88,3 %). Los defectos de la pared posterior representaron el 11,6 %. El 63,9 % de los casos fueron tratados a base de prótesis y el 8,2 % tuvieron algún tipo de complicación sin relación con la técnica anestésica, en los primeros 30 días del posoperatorio. Los valores medios de la escala visual análoga fueron bajos para las primeras 24 horas y 30 días. El nivel de aceptación del método anestésico fue de 95,5 %. Conclusiones. La hernioplastia inguinal con anestesia local mediante bloqueo ilioinguinal-iliohipogástrico es una técnica factible, segura y efectiva para este tipo de operación, lo que la hace ideal para su aplicación en centros quirúrgicos de cualquier nivel y en lugares con recursos limitados

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Assessment of postoperative pain and hospital discharge after inguinal and iliohypogastric nerve block for inguinal hernia repair under spinal anesthesia: a prospective study

Cited by 9 publications

References 20 publications

Contribution of Ultrasound-Guided Ilioinguinal/Iliohypogastric Block To Intraoperative Anesthesia In Children - Randomized Controlled Study

Contribution of Ultrasound-Guided Ilioinguinal/Iliohypogastric Block To Intraoperative Anesthesia In Children - Randomized Controlled Study

Comparison of Ilioinguinal-İliohypogastric Nerve Block versus Spinal Anesthesia Techniques for Single Sided Inguinal Herniorrhaphy

Anestesia local para hernia inguinal mediante bloqueo ilioinguinal-iliohipogástrico

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