[Ilio-inguinal Ilio-hypogastic nerve block with a single puncture: an alterantive for anesthesia in emergency inguinal surgery].
The authors describe the anaesthetic procedure for a strangulated hernia repair needing resection and anastomosis of the small bowel in an adult patient. This procedure was performed with an ilio-inguinal/ilio-hypogastric nerve block according to a paediatrical simplified technique with a single puncture. For this patient who had relative contraindications for central blocks, this regional technique allowed to avoid general anaesthesia with its gastric aspiration and predictible difficult intubation risks. This block associated with a very light sedation was sufficient for all the surgical procedure, and postoperative analgesia was efficient over 3 hours. This simplified nerve block, better than the conventional approach for the clinical practice, represents a recommended alternative for hernia repair in emergency for high risk patients who could have a general anaesthesia or a central block.
Carré
P
P
Service d'anesthésie réanimation chirurgicale 2, centre hospitalier universitaire Pontchaillou, 35033 Rennes, France. philippe.carre@chu-rennes.fr
Mollet
J
J
Le Poultel
S
S
Costey
G
G
Ecoffey
C
C
D000368:Aged; D000714:Anastomosis, Surgical; D000758:Anesthesia; D004632:Emergency Medical Services; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007001:Hypogastric Plexus; D007264:Inguinal Canal; D007421:Intestine, Small / Q000601:surgery; D008297:Male; D009407:Nerve Block
Bloc des nerfs ilio-inguinal et ilio-hypogastrique en une seule ponction: une alternative utile pour l'anesthésie des urgences chirurgicales inguinales.