[Ilioinguinal nerve block during general anesthesia for inguinal herniorrhaphy in adult anticoagulated patients].
Two adult anticoagulated patients after valve replacement were scheduled for inguinal herniorrhaphy. For inguinal herniorrhaphy in adults, spinal anesthesia is a common anesthetic method. In order to avoid spinal hematoma due to spinal anesthesia, however, we employed general anesthesia combined with ilioinguinal nerve block. Following induction of anesthesia, a laryngeal mask airway was inserted. Ilioinguinal nerve block was performed with 0.25% bupivacaine 20ml. Ilioinguinal nerve block was effective for maintaining hemodynamic stability throughout the operation, and decreased postoperative pain. This technique appears to be a simple and safe method for providing effective and long-lasting perioperative analgesia following inguinal herniorrhaphy in adult patients.
Hayashi
Hironobu
H
Department of Anesthesia, Izumisano Municipal Hospital, Izumisano 598 8577.
Shimoda
Takashi
T
Kishi
Katsuyoshi
K
Kitagawa
Kazuhiko
K
Yamaguchi
Ayako
A
Suzuki
Atsuhiro
A
Furuya
Hitoshi
H
D000368:Aged; D000768:Anesthesia, General; D000775:Anesthesia, Spinal; D000925:Anticoagulants / Q000009:adverse effects; D002045:Bupivacaine; D000075202:Contraindications; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000294:innervation; D007264:Inguinal Canal / Q000294:innervation; D017214:Laryngeal Masks; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000517:prevention & control
D000925:Anticoagulants; D002045:Bupivacaine