Postoperative analgesia after inguinal herniorrhaphy with bupivacaine by instillation and nerve block
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 21, Issue 2
Abstract
Background: Inguinal herniorrhaphy in adults is considered a minor surgical procedure but can be associated with significant postoperative pain. This study was undertaken to evaluate and compare instillation and nerve block techniques using 0.5% bupivacaine for postoperative analgesia after inguinal herniorrhaphy in adults. Material and Methods: In this study a total of 90 patients, above the age of 20 years, posted for elective inguinal herniotomy and herniorrhaphy were divided into three equal groups of 30 each. Group I received general anaesthesia, Group II and III received 0.5% bupivacaine instillation and nerve block in addition to general anaesthesia. Pain scores, degree of pain and duration of satisfactory analgesia was determined for each patient in groups. Results: The mean pain scores in group II and III when compared with control group the difference was found to be statistically significantly (p < 0.05). In group II, 73% of patients had satisfactory analgesia for 0-6 hours, in group III, 83% of patients had satisfactory analgesia for 7-12 hours. Discussion: The postoperative pain relief provided with 0.5% bupivacaine in conjunction with general anaesthesia gives good results after herniotomy and herniorrhaphy with instillation and nerve block techniques.
Authors and Affiliations
T K Karande, Mohamad Ashfaque
Keywords
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