Comparison of ilio-inguinal ilio-hypogastric nerve block versus spinal anesthesia for hernia repair as day care surgery
Journal Title: Perspectives In Medical Research - Year 2014, Vol 2, Issue 3
Abstract
Introduction: The interest in ilio-inguinal iliohypogastric nerve block (IHNB) has increased now a day due to good intraoperative surgical conditions, the minimum change in patient's physiology, fewer complications, early ambulation and excellent postoperative analgesia. Aim: To find out the optimal anesthetic technique for inguinal herniorrhaphy as day care surgery. Materials and Methods: This study compared various parameters of spinal anesthesia and IHNB. Patients with unilateral (direct and indirect) reducible hernias were included in the study. They were randomly allocated into two groups, each group comprising of 30 patients. Group 1 [SA], received spinal anesthesia and group 2 [IHNB]. received Ilioinguinal iliohypogastric nerve block. SA group received spinal anesthesia with 3.5 ml of 0.5 % heavy bupivacaine. IHNB group received Ilioinguinal iliohypogastric block with 35 ml local anesthetic solution. Results:Patients receiving IHNB had better hemodynamic stability and postoperative analgesia as compared to SA group. The post operative ambulation was significantly early in IHNB group and no post operative urinary retention as compared to SA group. Conclusion: We found that IHNB with sedation is better alternative to spinal anesthesia for inguinal herniorrhaphy specially when carried out in ambulatory set up.
Authors and Affiliations
Dhanashree Dongare
Keywords
Related Articles
- EP ID EP295589
- DOI -
- Views 135
- Downloads 0
Consanguinity and its effects: The Love that dare not speak its surname
Introduction: Consanguineous marriage means marrying biologically related or blood relatives. Consanguinity is a deeply rooted trend in the South Indian States. Aims and Objectives : The aim of the study is to determin...
A Cadaveric study on variations in brachial artery – An Anatomical perspective
Introduction: Brachial artery being the direct continuation of axillary artery at the lower border of Teres major is the vital feeder vessel of the upper limb. Deviations in the normal course & branching pattern of the b...
Fibrothecoma of Ovary
Objectives: Ovarian fibrothecomas represent an ovarian stromal neoplasm developing in a wide spectrum of clinical settings. Fibrothecomas have been described as rare neoplasms. The clinical presentation of ovarian fibrot...
Study of p16ink4a expression in cervical intraepithelial lesions and cervical carcinoma
Bakground: Cervical cancer ranks as the second cause of female cancer in India. In India about 122,844 new cervical cancer cases are diagnosed annually. Many lines of evidence have demonstrated that HPV contributes to ne...
Stromal tumours of the breast
Introduction: Phyllode tumours (PT) are fibroepithelial lesions that account for less than 1% of all breast neoplasms. With the non-operative management of fibroadenomas widely adopted, the importance of PT today lies in...