Ilioinguinal and Iliohypogastric Nerve Block Following Inguinal Hernia Repair under Spinal Anesthesia: A Prospective Study of Assessment of Post-operative Pain and Discharge Time
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 3
Abstract
Objective: The aim of this study was to evaluate post-operative pain analgesia with ilioinguinal (II) and iliohypogastric (IH) nerve block following repair of inguinal hernia surgery and time of discharge. Materials and Methods: A total of 72 patients undergoing hernia repair surgery were divided into two groups of 36 each (A and B). Both the groups were operated under spinal anesthesia. Group A received II and IH nerve block with wound infiltration with 0.75% ropivacaine, and Group B did not receive any nerve block. Demographic data, pain intensity according to the visual analog scale (VAS), and number of doses of analgesics diclofenac sodium, ketorolac, and tramadol) in the immediate postoperative period, as well as at the time of hospital discharge were recorded. Results: The VAS at rest was significantly lower in Group A compared with Group B (P < 0.05), 3 h after the procedure, with no differences on VAS during movement in all post-operative periods. The number of doses of analgesics during the post-operative period was similar in both groups, but patients in Group A were discharged earlier than in Group B. Conclusion: II and IH nerve block associated with surgical wound infiltration with 0.75% ropivacaine provides better post-operative analgesia and early hospital discharge in patients undergoing inguinal hernia repair under spinal anesthesia.
Authors and Affiliations
Roshan Radhakrishnan, Anand Kumar
Keywords
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