Ilioinguinal-Iliohypogastric Nerve Block with Intravenous Dexketoprofen Improves Postoperative Analgesia in Abdominal Hysterectomies

Abstract

Ilioinguinal-iliohypogastric nerve block with IV dexketoprofen increases patient satisfaction by decreasing opioid consumption, increasing patient satisfaction, which suggests that dexketoprofen trometamol is an effective non-steroidal anti-inflammatory analgesic in postoperative analgesia.

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

“…This finding was in accordance with a study conducted by Yucel et al that in II-IH block group, the first analgesia request time was longer than the counter parts [27]. This finding was also similar with a study conducted by Wolfson et al that the mean time to first analgesics request were significantly prolonged in the block group than the control group (P<0.01) [3].…”

“…Furthermore, our finding was comparable with trials conducted by Yucel E et al and Naghshineh et al, where postoperative analgesics consumption was significantly lower in the nerve block group compared with the control group [23][24][25]. This might be because Pfannenstiel incision is principally conducted by L1 and L2 dermatomes and depositing a local anaesthetic on the target nerves gives prolonged pain relief.…”

“…It is believed that ultrasound guidance could improve the certainty and safety of the block by confirming the position of the needle. However, the merits of landmark technique using "double pop" method regarding safety and certainty have been reported [2,3,12,27]. However; ultrasound guidance for regional anesthesia has not been decisively established to improve safety [28,29].…”

Treatment of Patient Syndrome at the Ambulatory-Polyclinic Stage. Selection of the Analgetic From the Positions of Comorbidity and Drug Safety: In Focus Dexketoprofen

“…В течение длительного времени декскетопрофен успешно используется не только при стационарном, но и на амбулаторно-поликлиническом этапе лечения паци-ентов, в ортопедии и травматологии [34,37,38,47,48,55,[75][76][77], гинекологии [33,54,[78][79][80][81], общей хирургии [41,42,52,55,82,83], нейрохирургии [39,[84][85][86] и других отраслях медицины [5,56,60].…”

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“…It is considerably safe, low risk, and effective block. There are many studies on the use of ILIH nerve block among adults with lower abdominal wall incisional surgeries such as cesarean sections, gynecological operations, and kidney recipient surgeries [5][6][7][8]. ILIH nerve block may be performed with the anatomical landmarks (conventional, blind technique) or with ultrasound guided (USG) techniques.…”