Day‐case herniotomy in children.

Reid, M.F.; Harris, Rachel E.; Phillips, P. D.; Barker, Ian; Pereira, Nathália Haib Costa; Bennett, Neil

doi:10.1111/j.1365-2044.1987.tb03095.x

Cited by 67 publications

(13 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…None of our cohort experienced fever and wound dehiscence, a similar observation was made by like Reid et al [ 12 ] the observation, they related to the antimicrobial activity of bupivacaine, which may protect against wound infection.…”

Section: Discussionsupporting

confidence: 87%

“…On arrival in the recovery room, none of the patients in our study experienced pain using the mCHEOPS score (score of 0) during their two hour stay. In contrast, Reid et al [ 12 ] observed that with the use of linear analogue score, 56% of the patients in the pre-incisional field block group were pain free on arrival in the recovery room, of which 68% had a score less than two. In those who received wound infiltration, 100% were pain free, and 86% of the patients had a score < 2.…”

Section: Discussionmentioning

confidence: 94%

“…The number of subjects who complained of pain in our study was significantly lower in the pre-incisional field block group than the post-incisional group. Reid et al [ 12 ] in a similar population of patients observed that the use of ilioinguinal nerve blockade for postoperative analgesia in children was associated with increase in the number of pain free patients, and a significant reduction in postoperative analgesia requirements. The use of the number of patients to monitor the control of postoperative pain after herniotomy may not be an objective method of monitoring pain especially in children.…”

Section: Discussionmentioning

confidence: 99%

“…The use of the number of patients to monitor the control of postoperative pain after herniotomy may not be an objective method of monitoring pain especially in children. Other researchers had earlier suggested that the mean pain score and the time to first analgesic requirement were better indicators of adequacy of pain relief [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

The Effect of Pre-Incision Field Block versus Post-Incision Inguinal Wound Infiltration on Postoperative Pain after Paediatric Herniotomy

Olanipekun

Adekola

Desalu

et al. 2015

Open Access Maced J Med Sci

View full text Add to dashboard Cite

BACKGROUND:The Ilioinguinal/iliohypogastric nerve block has been shown to significantly decrease opioid analgesic requirements and side effects after inguinal herniotomy. We compared the effect of pre-incisional field block with 0.25% bupivacaine and post-incisional wound infiltration with 0.25% bupivacaine for postoperative pain control after inguinal herniotomy.PATIENTS & METHODS:This was a randomized controlled double blind study in 62 ASA I and II children aged 1-7 years scheduled for inguinal herniotomy. They were assigned to receive either pre-incision field block (group I) or post-incision wound infiltration at the time of wound closure (group II). The pain score was assessed in the recovery room using mCHEOPS score and VAS or FLACC score at home by the parents for 24 hours.RESULTS:The mean pain scores during the 2 hour stay in the recovery room, at 12 and 18 hours at home were similar in both groups, p > 0.05. However, the mean pain scores were significantly lower at 6 hours at home in group I (1.22 ± 0.57) than in group II (1.58 ±0.90), p <0.001, but significantly higher at 24 hours at home in group I (3.29 ± 0.46) than in group II (2.32 ± 0.24), p = 0.040. There was no difference in mean paracetamol requirement, and in the number of patients who required paracetamol for pain relief at home in both groups, p > 0.05.CONCLUSION:We have demonstrated that both pre-incisional ilioinguinal/iliohypogastric field block and post incisional wound infiltration provided adequate postoperative analgesia for 24 hours after inguinal herniotomy.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Effect of Pre-Incision Field Block versus Post-Incision Inguinal Wound Infiltration on Postoperative Pain after Paediatric Herniotomy

Olanipekun

Adekola

Desalu

et al. 2015

Open Access Maced J Med Sci

View full text Add to dashboard Cite

show abstract

“…Repeated studies have examined postoperative analgesia following instillation of bupivacaine into the wound after herniorrhaphy and found a beneficial effect. 21 , 22 This local anesthetic was chosen because of its high potency and long-lasting action. However, it should be kept in mind that serious systemic toxic reactions, like seizures and cardiovascular collapse, while unusual, may occur after inadvertent IV administration of large doses of bupivacaine.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of tramadol as a preincisional infiltration anesthetic in children undergoing inguinal hernia repair: a prospective randomized study

Numanoğlu

Ayoğlu

2014

TCRM

View full text Add to dashboard Cite

BackgroundPreincisional local anesthetic infiltration at the surgical site is a therapeutic option for postoperative pain relief for pediatric inguinal hernia. Additionally, tramadol has been used as an analgesic for postoperative pain in children. Recently, the local anesthetic effects of tramadol have been reported. The aim of this study was to determine both the systemic analgesic and the local anesthetic effects of tramadol and to determine how it differs from bupivacaine when administered preincisionally.MethodsFifty-two healthy children, aged 2–7 years, who were scheduled for elective herniorrhaphy were randomly allocated to receive either preincisional infiltration at the surgical site with 2 mg/kg tramadol (Group T, n=26) or 0.25 mL/kg 0.5% bupivacaine (Group B, n=26). At the time of anesthetic administration, perioperative hemodynamic parameters were recorded. The pain assessments were performed 10 minutes after the end of anesthesia and during the first 6-hour period, using pain scores. The time of first dose of analgesia and need for additional analgesia were recorded.ResultsBetween T and B groups, the anesthesia time, perioperative hemodynamic changes, and pain scores were not statistically different. However, in group B, the postoperative analgesic requirement was higher than in group T.ConclusionTramadol shows equal analgesic effect to bupivacaine and decreases additional analgesic requirement, when used for preincisional infiltration anesthesia in children undergoing inguinal herniorrhaphy.

show abstract

Pain relief after inguinal hernia repair: A randomized double-blind study

Nehra

Gemmell

Pye

1995

British Journal of Surgery

View full text Add to dashboard Cite

A randomized double-blind study was undertaken using 0.5 per cent bupivacaine ilioinguinal field block and oral papaveretum-aspirin tablets to assess pain relief after hernia surgery. A consecutive series of 200 men undergoing repair of a unilateral inguinal hernia underwent random allocation into one of the four groups to receive: bupivacaine and papaveretum-aspirin (group 1), bupivacaine and oral placebo (group 2), saline and papaveretum-aspirin (group 3), or saline and oral placebo (group 4). Patients were prescribed postoperative opiates to be given on demand. Pain levels and mobility were assessed at 6 and 24 h after operation. Patients in group 1 reported significantly less pain, required less additional opiates and had better mobility than those in group 4 (pain score P < 0.001 at 6 h and P = 0.002 at 24 h) and group 3 (P = 0.002 for pain and mobility scores at 6 h). Bupivacaine alone provided good immediate postoperative pain relief (P = 0.002 group 2 versus group 4 at 6 h). The combination of bupivacaine and papaveretum-aspirin provided the best results and is suitable for day-case postoperative analgesia.

show abstract

Day‐case herniotomy in children.

Cited by 67 publications

References 6 publications

The Effect of Pre-Incision Field Block versus Post-Incision Inguinal Wound Infiltration on Postoperative Pain after Paediatric Herniotomy

The Effect of Pre-Incision Field Block versus Post-Incision Inguinal Wound Infiltration on Postoperative Pain after Paediatric Herniotomy

Efficacy of tramadol as a preincisional infiltration anesthetic in children undergoing inguinal hernia repair: a prospective randomized study

Pain relief after inguinal hernia repair: A randomized double-blind study

Contact Info

Product

Resources

About