Comparison between ultrasound-guided ilioinguinal/iliohypogastric nerve block and transversus abdominis plane block for postoperative pain control after open inguinal hernia repair
Author(s):
Abstract:
Aims and
Background
The purpose of this study was to compare ultrasound-guided ilioinguinal/iliohypogastric nerve block and transversus abdominis plane block for postoperative pain control after open inguinal hernia repair.Materials And Methods
88 patients undergoing open inguinal hernia surgery in Rasoul e Akram Hospital were randomly assigned into two groups. One group received ultrasound-guided ilioinguinal/iliohypogastric nerve block and the other received transversus abdominis plane (TAP) block. Patients were monitored for visual analogue scale (VAS) scores at rest, in recovery, at 4, 8, 12,and 24h postoperatively, and also during walking at 24, 36 and 48h after surgery. The data was then analyzed using SPSS 22 softwareFindings
VAS pain scores were lower in ilioinguinal group than TAP block group both at rest and during movement. The difference was statistically significant during movement (p=0.017). In addition, analgesic satisfaction was significantly greater in the ilioinguinal group than the TAP block group (Mean score 2.43 vs. 1.84, p=0.001). Postoperative narcotic requirements was not statistically different between the two groups.Conclusion
This study suggests that ultrasound-guided ilioinguinal/iliohypogastric nerve block provided better pain control than transversus abdominis plane block after open inguinal hernia repair.Keywords:
Language:
Persian
Published:
Journal of Anesthesiology and Pain, Volume:6 Issue: 4, 2016
Pages:
1 to 8
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