[Bilateral ilioinguinal nerve block for ambulatory varicocele surgery].
OBJECTIVE
The aim of this study was to evaluate the effectiveness of bilateral ilioinguinal-iliohypogastric nerve blocks for pain relief following ambulatory bilateral varicocelectomy.


METHODS
Prospective and randomised.


METHODS
Sixty adult men scheduled for bilateral varicocelectomy were included in this prospective study. All patients had a standardised general anesthesia. After surgical procedures, patients were randomized into two groups: patients in group I received a bilateral ilioinguinal nerve block with 15 ml x 2 of 0.25% bupivacaine; patients in group II received subcutaneously 1 mg kg-1 of tramadol. Visual analogue pain scores at rest and during mobilisation were recorded at 5 min and 1, 3, 5 postoperative hours. The side effects of analgesia and amounts of rescue analgesics were recorded.


RESULTS
Pain scores at rest and during mobilisation, the incidence of postoperative nausea and vomiting and additional analgesics requirement were significantly reduced in group I. There was no complication.


CONCLUSIONS
Ilioinguinal nerve block is effective in controlling pain after bilateral varicocelectomy in ambulatory surgery.
Yazigi
A
A
Département d'anesthésie-réanimation, Hôtel-Dieu de France, Beyrouth, Liban.
Jabbour
K
K
Jebara
S M
SM
Haddad
F
F
Antakly
M C
MC
D000328:Adult; D000556:Ambulatory Surgical Procedures; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000627:therapeutic use; D000768:Anesthesia, General; D006801:Humans; D007085:Ilium; D007264:Inguinal Canal; D008297:Male; D009407:Nerve Block; D010147:Pain Measurement / Q000187:drug effects; D010149:Postoperative Pain / Q000188:drug therapy*; D020250:Postoperative Nausea and Vomiting / Q000453:epidemiology; D011446:Prospective Studies; D014147:Tramadol / Q000008:administration & dosage / Q000627:therapeutic use; D014646:Varicocele / Q000601:surgery*; D014656:Vascular Surgical Procedures
D000701:Analgesics, Opioid; D014147:Tramadol