Preoperative percutaneous ilioinguinal and iliohypogastric nerve block with 0.5% bupivacaine for post-herniorrhaphy pain management in adults.
The safety, effectiveness and duration of a percutaneous ilioinguinal-iliohypogastric nerve block with 10 ml 0.5% bupivacaine, as a method for postoperative analgesia, were studied prospectively in adult patients undergoing unilateral inguinal herniorrhaphy under spinal anesthesia. Group I (n = 20) blocked patients were compared with Group II (n = 25), non-blocked control patients. A blinded observer assessed pain scores and analgesic requirements after surgery. Group I patients had less pain at 3, 6, 24 and 48 hours after surgery and also required less analgesics during the first two postoperative days. This technique appears to be a simple and safe method for providing effective and long-lasting postoperative analgesia following inguinal hernia repair in adults.
Bugedo
G J
GJ
Departamento de Anestesiologá, Hospital Clínco Universidad Católica de Chile, Santiago.
Cárcamo
C R
CR
Mertens
R A
RA
Dagnino
J A
JA
Muñoz
H R
HR
D000328:Adult; D000368:Aged; D002045:Bupivacaine; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008160:Lumbosacral Plexus; D008297:Male; D008875:Middle Aged; D009407:Nerve Block; D010149:Postoperative Pain / Q000188:drug therapy*; D011300:Preoperative Care
D002045:Bupivacaine