Abstract
Abstract
Background
Combined ilioinguinal-iliohypogastric (IIN/IHN) block and transverse abdominis plane (TAP) block are used under ultrasound (USG) visualization for postoperative pain control in patients undergoing inguinal hernia repair surgery. This study compares USG-guided TAP versus IIN/IHN block for post-operative analgesia efficacy in adults undergoing inguinal hernia surgery, among 100 patients randomized into group A received TAP block by using levobupivacaine 0.5% 25 ml and group B received IIN+IHN blocks by using levobupivacaine 0.5% 10 ml before induction of general anesthesia.
Results
The mean duration (in minutes) to require rescue analgesia was found to be 1003.2 ± 99.6 (min) in group A and 1317 ± 69 (min) in group B. In a comparison of these two values the difference in the meantime to rescue analgesic requirement was statistically significant (p < 0.001).
Conclusions
USG-guided IIN/IHN block delays the need for rescue analgesia and reduces the postoperative analgesic requirement compared to USG-guided TAP block.
Publisher
Springer Science and Business Media LLC
Reference15 articles.
1. Aldrete JA (1995) The post-anesthesia recovery score revisited. J Clin Anesth 7(1):89–91. https://doi.org/10.1016/0952-8180(94)00001-k PMID: 7772368
2. Anatoli S, Leonid R, Stav MY et al (2016) Transversus abdominis plane versus ilioinguinal and iliohypogastric nerve block for analgesia. Rambam Maimonides Med J 7(3):e0021
3. Arun S, Anderson A, Vipin B (2019) Comparison of efficacy of ilioinguinal / iliohypogastric nerve block and transversus abdominis plane block for postoperative pain management in patients undergoing open inguinal hernia repair: a retrospective cohort study. J Evid Based Med Healthc. 6(18):2349–2570
4. Aveline C, Le Hetet H, Le Roux A et al (2010) Comparison between ultrasound-guided transversus abdominis plane and conventional ilioinguinal / iliohypogastric nerve blocks for day-case open inguinal hernia repair. Br J Anaesth 106(3):380–386. https://doi.org/10.1093/bja/aeq363
5. Eichenberger U, Greher M, Kirchmair L, Curatolo M, Moriggl B (2006) Ultrasound-guided blocks of the ilioinguinal and iliohypogastric nerve: Accuracy of a selective new technique confirmed by anatomical dissection. Br J Anaesth 97(2):238–243. https://doi.org/10.1093/bja/ael103