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Fırat Tıp Dergisi
2016, Cilt 21, Sayı 4, Sayfa(lar) 214-220
[ Turkish ] [ Tam Metin ] [ PDF ]
Unilateral Inguinal Hernia Repair and Ilioinguinal Iliohypogastric Block: Our Perioperative and Postoperative Findings
Ebru ÇANAKÇI1, Nilay TAŞ1, Özgür YAĞAN1, Tuğçe MUTLU1, Murat KARAKAHYA2
1Ordu Üniversitesi Tıp Fakültesi Eğitim ve Araştırma Hastanesi, Anestezi ve Reanimasyon Anabilim Dalı, Ordu, Türkiye
2Ordu Üniversitesi Tıp Fakültesi Eğitim ve Araştırma Hastanesi, Genel Cerrahi Anabilim Dalı, Ordu, Türkiye

Objective: The purpose of this study is to evaluate hemodynamic effects, postoperative analgesia, the time period to reach the discharge criteria and satisfaction of the patient and the surgeon by spinal anaesthesia (SA) alone and ilioinguinal iliohypogastric nerve block (IIIHNB) combined with spinal anaesthesia in patients undergoing unilateral inguinal hernia surgery.

Material and Method: 3 ml of 0.5% hyperbaric bupivacaine SA (Group S) was given to 25 patients in ASA I-II risk group; and 20 ml of 0.5% bupivacaine and IIIHNB (Group SII) were given to 25 patients in addition to spinal anaesthesia.

Results: The average block practice time for Group SII was found to be significantly long compared to Group S (20.1±4.1 and 3.5±2.9 min.). When sufficient sensory block formation time was compared (21.3±6.5 and 7.8±2.9 min.), it was found to be significantly longer in Group S. At the end of sensory block time, it was also significantly longer for Group SII (129.6±103.9 and 404.5±71.2 min) (p=0.034) .There was no difference detected in the initial mobilization period and the time period to reach discharge criteria between the groups (respectively p=0.079,p=0.084). The average VAS values for Group SII in the first, second, fourth, sixth and twelfth hours after the operation were significantly low (respectively p=0.016, p=0.029, p=0.038, p=0.042, p=0.031). In the postoperative period of the first 12 hour there was a need for tramadole in 8 patients in Group S, but not in Group SII. In both of the groups, none of the patients were excluded from the study because of failed blocks. Patient and surgeon satisfaction were similar between the groups. Perioperative vital signs remained stable in both groups and there was no significant difference in the statistical analysis

Conclusion: IIIHNB application in addition to spinal anaesthesia in the surgery of unilateral inguinal hernia, provides longer lasting postoperative analgesia and increases patients’ comfort.


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