Evaluation of genitofemoral nerve block, in addition to ilioinguinal and iliohypogastric nerve block, during inguinal hernia repair in children

Sasaoka, Noriyuki; Kawaguchi, Maiko; Yoshitani, Kenji; Kato, Hironori; Suzuki, Atsuko; Furuya, Hidekazu

doi:10.1093/bja/aei031

Cited by 64 publications

(54 citation statements)

References 11 publications

(9 reference statements)

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“…Inguinal region receive also sensory innervation from ileoinguinal and ileohypogastric nerves [4]. The entrapment of these nerves during hernia repair may cause postoperative groin pain [5].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Electrophysiologic evaluation of genitofemoral nerve in children with inguinal hernia repair

Soyer

Keleş

İnal

et al. 2008

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

“…Postoperative pain after inguinal hernia repair is proposed to be the result of injury of ileoinguinal nerve and genital branch of GFN [4]. Bademkıran et al [5] suggest that mesh graft, sutures, and scars may injure the GFN during herniorrhaphy in adults.…”

mentioning

confidence: 99%

Electrophysiologic evaluation of genitofemoral nerve in children with inguinal hernia repair

Soyer

Keleş

İnal

et al. 2008

Journal of Pediatric Surgery

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“…That's why many different pain control modalities have been performed and many articles have done to compare their effectiveness. Regional anesthetic techniques like caudal block have thought proper for pediatric patients [4,5]. Lowering general anesthetic requirements intraoperatively and providing adequate postoperative pain relief are well known two major benefits of regional supplementation especially for day-case procedures.…”

Section: Discussionmentioning

confidence: 99%

Caudal Block with General Anesthesia for Outpatient Pediatric Surgery Procedures

İrşi

Arzu

Firdevs

2017

JACCOA

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Background: Pediatric surgery is mostly done in an outpatient setting and due to this fact preoperative and postoperative pain management is a very important task to overcome. Aim:We aim to share and underline our clinical experience regarding with the children's comfort and parents' satisfaction after outpatient pediatric surgery cases performed under general anesthesia combined with caudal block regional anesthesia. Methods:The files of 405 ASA1 outpatient pediatric surgery patients were retrospectively reviewed. Each inguinoscrotal procedures performed under general anesthesia combined with caudal extradural 1ml/kg bupivacaine. Caudal extradural block was performed just after general anesthesia induction just before the operation. The objective pain score was used to determine child analgesia requirement level postoperatively up to 12 hours. Postoperative pain control was sustained for 48 hours using routine paracetamol and ibuprofen if needed.Results: Combined anesthesia and caudal block during outpatient procedures leads usage of low dose of inhalation anesthetic requirement and early recovery from the anesthetic condition. This was achieved by effective pain control of caudal block. The main concentration of caudal block performed according to the types of outpatient procedures. In hypospadias patient bupivacaine concentration were kept at high level aim to prolong lower extremities immobilization for better recovery. Combined anesthesia with caudal block for outpatient procedures made possible to discharge all most all of the patients as day case surgery. Conclusion:Combined general anesthesia with caudal analgesia with bupivacaine enable us effective and safe per operative pain control beside usage of lower dose of inoperative anesthetic agents makes day case surgery more safer for children with less side effects.

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“…11.12 In the literature, bupivacaine and levobupivacaine were reported to be used in different concentrations and volumes for II/IH nerve block in pediatric patients. [2][3][4]6,[13][14][15][16][17][18] In these studies, while bupivacaine was applied in 0.5% concentration and 2 mg/kg and 0. 2,18 In our study, we included the cases in whom bupivacaine and levobupivacaine were used in 0.5% concentration and 0.2 mL/kg dose.…”

Section: Discussionmentioning

confidence: 99%

Çocuk Hastalarda İlioinguinalL/İliohipogastrik Sinir Bloğunda Bupivakain ve Levobupivakainin Postoperatif Ağrıya Etkilerinin Karşılaştırılması: Retrospektif Çalışma

Darçın

Tuna

Akkoyun³

et al. 2017

Sakarya Medical Journal

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Objective Ilioinguinal/iliohypogastric (II/IH) nerve block added to general anesthesia is frequently used for postoperative analgesia in pediatric patients. We aimed to compare the postoperative analgesic effects of bupivacaine and levobupivacaine for II/IH nerve block for inguinal hernia repair in pediatric patients, which is not investigated previously.Materials and Methods: In this 2-year retrospective study, data were collected from the medical charts of patients that underwent unilateral inguinal hernia repair. Patients were included who received an II/IH nerve block with 0.2 mL/kg 0.5% of either bupivacaine (Group B) or levobupivacaine (Group L). Non-elective cases, age under 2 years and patients with multiple procedures were excluded. Demographic properties of the patients (age, weight, and sex), duration and side of surgery, pain scores, additional analgesic requirement and complications were documented. The chi-square test and the Mann-Whitney U test were used for statistical analysis Results: In both groups, the pain scores were not significantly different at post anesthesia care unit, 1, 2, 6 and 24th hours; nevertheless, the pain scores at 4th hour were significantly lower in Group L.Conclusion: II/IH nerve block added to general anesthesia is effective in inguinal region surgery of pediatric patients in postoperative pain control, and 0.5% levobupivacaine and bupivacaine had similar analgesic effect.

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Evaluation of genitofemoral nerve block, in addition to ilioinguinal and iliohypogastric nerve block, during inguinal hernia repair in children

Abstract: The benefit of the additional genitofemoral nerve block to IG-IH nerve block was limited only to the time of sac traction without any postoperative effect. This suggests there is little clinical benefit in the addition of a genitofemoral nerve block.

Cited by 64 publications

References 11 publications

Electrophysiologic evaluation of genitofemoral nerve in children with inguinal hernia repair

Electrophysiologic evaluation of genitofemoral nerve in children with inguinal hernia repair

Caudal Block with General Anesthesia for Outpatient Pediatric Surgery Procedures

Çocuk Hastalarda İlioinguinalL/İliohipogastrik Sinir Bloğunda Bupivakain ve Levobupivakainin Postoperatif Ağrıya Etkilerinin Karşılaştırılması: Retrospektif Çalışma

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