Evaluation of Anesthesia Profile in Pediatric Patients after Inguinal Hernia Repair with Caudal Block or Local Wound Infiltration

Abstract

AIM:The aim of this study is to evaluate anesthesia and recovery profile in pediatric patients after inguinal hernia repair with caudal block or local wound infiltration.MATERIAL AND METHODS:In this prospective interventional clinical study, the anesthesia and recovery profile was assessed in sixty pediatric patients undergoing inguinal hernia repair. Enrolled children were randomly assigned to either Group Caudal or Group Local infiltration. For caudal blocks, Caudal Group received 1 ml/kg of 0.25% bupivacaine; Local Infiltration Group received 0.2 ml/kg 0.25% bupivacaine. Investigator who was blinded to group allocation provided postoperative care and assessments. Postoperative pain was assessed. Motor functions and sedation were assessed as well.RESULTS:The two groups did not differ in terms of patient characteristic data and surgical profiles and there weren’t any hemodynamic changes between groups. Regarding the difference between groups for analgesic requirement there were two major points - on one hand it was statistically significant p < 0.05 whereas on the other hand time to first analgesic administration was not statistically significant p = 0.40. There were significant differences in the incidence of adverse effects in caudal and local group including: vomiting, delirium and urinary retention.CONCLUSIONS:Between children undergoing inguinal hernia repair, local wound infiltration insures safety and satisfactory analgesia for surgery. Compared to caudal block it is not overwhelming. Caudal block provides longer analgesia, however complications are rather common.

Comparative Study of Ultrasound - Guided Transversus Abdominis Plane Block Versus Ilioinguinal/Iliohypogastric Nerve Block& Local Wound Infiltration for Post Operative Analgesia in Inguinal Hernia in Paediatrics

“…The present study goes with Gavrilovska-Brzanov et al [9] they studied evaluation of anesthesia profile in pediatric patients after inguinal hernia repair with caudal block or local wound infiltration. the anesthesia and recovery profile was assessed in sixty pediatric patients undergoing inguinal hernia repair.…”

Subcutaneous Bupivacaine Infiltration Is Not Effective to Support Control of Postoperative Pain in Paediatric Patients Undergoing Spinal Surgery

“…As reported by Zmora et al, the intraperitoneal administration of bupivacaine does not lead to pain alleviation after laparoscopic cholecystectomy [19]. The results of tests among children and adolescents are also inconclusive [20]. Srinivasan et al did not observe any differences between LIA and the single intrathecal administration of opioids to children subjected to Minimally Invasive Urologic Surgery, stating only that the former method carries a lower risk of complications [21].…”

Pediatrik İnguinal Herni Onarımı Sonrası Postoperatif Analjezi: Transvers Abdominis Plan Bloğu veya Caudal Epidural Blok

“…Gavrilovska-Brzanov compared the application of caudal block and woundsite infiltration block in children undergoing inguinal surgery, and reported a significant difference in sideeffects. In the caudal block group, the incidence of nausea was 14.29%, delirium 3.5%, and a need for urinary catheterisation 3.5%, while it was emphasised that no side-effects were seen in the other wound-site infiltration block group (16). 17) reported a complication rate of 0.3% (aspiration of blood and peritoneal puncture) in 1994 pediatric patients applied with TAP block.…”