Effect of preincisional ilioinguinal and iliohypogastric nerve block on postoperative analgesic requirement in day‐surgery patients undergoing herniorrhaphy under spinal anaesthesia

Toivonen, Juhani; Permi, J; Rosenberg, P. H.

doi:10.1034/j.1399-6576.2001.045005603.x

Cited by 43 publications

(33 citation statements)

References 19 publications

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“…[5] başka bir çalışmalarında IH cerrahisinde SA veya SA+IHNB uyguladıkları erişkin hastaların ameliyat sonrası ağrı değerleri ve analjezik ihtiyacını karşılaştırmışlardır. IHNB uygulaması %0.5 bupivakain 10 ml ile gerçekleştirilmiştir.…”

Section: Discussionunclassified

“…[1,2] İlioinguinal iliohipogastrik sinir bloğu (IHNB) ise erişkin hastalarda ameliyat sonrası analjezi amacı ile SA veya GA ile beraber uygulanmıştır. [3][4][5] Çocuk hastalarda da IHNB, GA ile birlikte ameliyat sonrası analjezi amacı ile başarı ile uygulanmış-tır. [6,7] Bununla beraber inguinal herni cerrahisinde anestezi tekniği olarak IHNB'nin uygulandığı klinik çalışma az sayıdadır.…”

Section: Introductionunclassified

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

Gurkan¹,

Ütebey²,

Özlü³

2013

Agri

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Section: Discussionunclassified

Section: Introductionunclassified

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

Gurkan¹,

Ütebey²,

Özlü³

2013

Agri

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“…But Lee et al could not demonstrate the pre-emptive analgesic effect of preincisional bupivacaine infiltration [12]. Similarly, Toivonen et al studied the effect of preincisional IINB on postoperative analgesic requirement in day-surgery patients undergoing herniorrhaphy under spinal anaesthesia [13].…”

Section: Discussionmentioning

confidence: 99%

A Study on Effectiveness of Ilioinguinal and Iliohypogastricnerve Block at the Time of Wound Closure for Postoperative Pain Relief in Inguinal Hernia Repair

Htun¹

2016

J Pain Relief

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“…Of the six negative preventive studies, ®ve evaluated the role of local anesthetic agents [31±33, 39,40] and one used ketamine [51]. Surprisingly, half of those studies demonstrated little [39] or no analgesic [32,51] effect of the treatment intervention, and therefore would have been unlikely to demonstrate a preventive analgesic effect.…”

Section: Preventive Analgesiamentioning

confidence: 99%

Current status of pre-emptive analgesia

Katz

McCartney

2002

Current Opinion in Anaesthesiology

110

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Purpose of reviewThe controversy over pre-emptive analgesia continues unabated, with studies both supporting and refuting its efficacy. The timing of an analgesic intervention and presence of a placebo control may have significant impact on the interpretation of results and may have led to the premature conclusion that pre-emptive analgesia is of limited clinical utility. A review of the recent literature using strict definitions of preemptive and preventive analgesia is required in order to clarify the broader issue of the benefits of perioperative analgesia. Recent findings A total of 27 studies, published from April 2001 to April 2002, were found to evaluate pre-emptive (n = 12) or preventive analgesia (n = 15). Evidence for a benefit of preventive analgesia was strong, with 60% of studies finding reduced pain or analgesic consumption beyond the clinical duration of action of the analgesic intervention. Evidence for a benefit of preemptive analgesia was equivocal, with 41.7% of studies demonstrating that preincisional treatment reduces pain or analgesic consumption to a greater extent than does postincisional treatment. Summary Studies that used a preventive design had a greater likelihood of finding a beneficial effect. The application of preventive perioperative analgesia (not necessarily preincisional) is associated with a significant reduction in pain beyond the clinical duration of action of the analgesic agent, in particular for the N-methyi-D-aspartate antagonists. The classical definition of pre-emptive analgesia should be abandoned in favor of preventive analgesia. This will broaden the scope of inquiry from a narrow focus on preincisional versus postincisional interventions to one that aims to minimize postoperative pain and analgesic requirements by reducing peripheral and central sensitization arising from noxious preoperative, intraoperative and postoperative inputs.

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Effect of preincisional ilioinguinal and iliohypogastric nerve block on postoperative analgesic requirement in day‐surgery patients undergoing herniorrhaphy under spinal anaesthesia

Abstract: It is concluded that no long-term analgesia could be demonstrated by a preincisional IINB performed during spinal anaesthesia in day-surgery inguinal herniorrhaphy patients. Thus, reduced analgesic requirement was seen only for about 6 h postoperatively.

Cited by 43 publications

References 19 publications

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

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

A Study on Effectiveness of Ilioinguinal and Iliohypogastricnerve Block at the Time of Wound Closure for Postoperative Pain Relief in Inguinal Hernia Repair

Current status of pre-emptive analgesia

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