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

Gurkan, I.; Ütebey, Gülten; Özlü, Onur

doi:10.5505/agri.2013.95866

Cited by 7 publications

(9 citation statements)

References 15 publications

(23 reference statements)

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“…Furthermore, ilioinguinal and iliohypogastric (II-IH) nerve blocks are widely practiced for the treatment of postoperative pain after caesarean delivery [2] and for analgesia for different age groups of patients undergoing hernia repair [16,17]. Bilateral II-IH nerve block found to be effective to provide analgesia after low transverse caesarean delivery as the Pfannenstiel incision has both a somatic and a visceral component, and the somatic pain generated at the incision site is innervated by the II-IH nerve, that innervate the L1-2 dermatome distribution (3k) [18].…”

Section: Introductionmentioning

confidence: 99%

Analgesic Efficacy of Bilateral Ilioinguinal and Iliohypogastric Nerve Block for Post Caesarean Delivery Under Spinal Anaesthesia, 2016. Double blind randomized Study

Nigatu¹,

Gebremedhn²,

Tawuye³

et al. 2017

J Anesth Clin Res

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Background: Pain after cesarean section is a common phenomenon. Optimal postoperative pain control is paramount as it facilitates early mobilization of the mother, decrease patient morbidity, improve mother -new born bonding and patient satisfaction. This study was designed to determine the analgesic efficacy of bilateral ilioinguinal and iliohypogastric nerve block for caesareans delivery under spinal anaesthesia in the first 24 post-operative hours, Gondar University hospital, Northwest Ethiopia.

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Section: Introductionmentioning

confidence: 99%

Analgesic Efficacy of Bilateral Ilioinguinal and Iliohypogastric Nerve Block for Post Caesarean Delivery Under Spinal Anaesthesia, 2016. Double blind randomized Study

Nigatu¹,

Gebremedhn²,

Tawuye³

et al. 2017

J Anesth Clin Res

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“…Although IHNB is an easy and reliable technique, the side effects, such as transient femoral nerve paralysis, abscess, hematoma, colon perforation, local anesthetic toxicity, should be kept in mind [6,14]. We did not observe any complications in our study.…”

Section: Discussionmentioning

confidence: 50%

“…Similarly, another study compared the postoperative pain and the need for analgesics of adult patients with SA and SA+IHNB in inguinal hernia surgery and indicated that IHNB with SA decreased postoperative pain and the need for analgesics for nearly six hours [21]. Gurkan et al [14] compared SA and II/IHNB in patients who underwent unilateral inguinal hernia repair and found that the patients were first mobilized about 150 min earlier with II/IHNB, and sensory block lasted 145 minutes longer. Our study was compatible with similar studies, as IINB in addition to spinal anesthesia resulted in a decrease in the amount of tramadol use, early patient mobilization, and discharge.…”

Section: Discussionmentioning

confidence: 99%

The effects of ilioinguinal nerve block on acute and chronic neuropathic pain in patients following inguinal hernia repair with spinal anesthesia: A prospective cohort study

Onur¹,

Karaca²,

Ökmen³

et al. 2022

Journal of Surgery and Medicine

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Background/Aim: Post-surgical pain is a major factor affecting the quality of life of patients. This study aims to investigate the effectiveness of ilioinguinal block on acute and chronic neuropathic pain after inguinal hernia surgery with spinal anesthesia. Methods: This prospective cohort study included sixty ASA I-III patients aged 18-65 years, who underwent a unilateral inguinal hernia operation. The patients were divided into two groups: Those who received spinal block only (Group 1, n=30), and those who received spinal and ultrasound-guided ilioinguinal nerve block (Group 2, n=30). The perioperative and postoperative complications, Visual Analogue Scale (VAS) scores on rest and Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) scores at the postoperative 2 nd , 6 th , 12 th , and 24 th hours, and in the 3 rd and 6 th months were noted. Results: No significant difference was observed in the time of first analgesic administration among the groups, but tramadol use significantly reduced in Group 2 (P=0.019). Time until mobilization and discharge was significantly shorter among the Group 2 patients (P<0.001, P=0.021, respectively). Visual Analogue Scale scores at rest at the 12 th and 24 th hours, and in the 3 rd and 6 th months were significantly less in Group 2 (P=0.032, P=0.005, P=0.022, P=0.008, respectively). Leeds Assessment of Neuropathic Symptoms and Signs scores of the patients at the 24 th hour, 3 rd, and 6 th months were significantly lower in Group 2 (P<0.001, P<0.001, P=0.012, respectively). Conclusion:We think that ilioinguinal nerve block with spinal anesthesia is a successful and reliable technique for acute postoperative and chronic neuropathic pain management in unilateral inguinal hernia repair.

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“…Afecta generalmente a pacientes jóvenes que representan el pilar productivo del país y, por lo tanto, es imprescindible la pronta recuperación, la mínima secuela posoperatoria y el rápido retorno al trabajo. La utilización de la anestesia local para operar este tipo de hernia ofrece múltiples ventajas sobre otros métodos anestésicos, como ha sido ampliamente demostrado por diversos estudios y ratificado por el tiempo 15,16 .…”

Section: Discussionunclassified

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

Cited by 7 publications

References 15 publications

Analgesic Efficacy of Bilateral Ilioinguinal and Iliohypogastric Nerve Block for Post Caesarean Delivery Under Spinal Anaesthesia, 2016. Double blind randomized Study

Analgesic Efficacy of Bilateral Ilioinguinal and Iliohypogastric Nerve Block for Post Caesarean Delivery Under Spinal Anaesthesia, 2016. Double blind randomized Study

The effects of ilioinguinal nerve block on acute and chronic neuropathic pain in patients following inguinal hernia repair with spinal anesthesia: A prospective cohort study

Anestesia local para hernia inguinal mediante bloqueo ilioinguinal-iliohipogástrico

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