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127681

Ultrasound-Guided Ilioinguinal/Iliohypogastric Nerve Block versus Ultrasound Guided Transversus Abdominis Plane Block for Lower Abdominal Surgeries: A comparative Clinical Study

Article

Last updated: 24 Dec 2024

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Effective pain relief is of utmost importance to anyone undergoing surgery. Postoperative pain relief increases patient comfort and satisfaction. This is best accomplished with a multi-modal approach. Recent trends in minimally invasive surgery and improved recovery protocols have addressed pain treatment in light of these goals.
Aim of the work: Comparison between ultrasound-guided Ilioinguinal and Iliohypogastric nerve block with ultrasound-guided transversus abdominis plane block regarding postoperative analgesia in patients scheduled for lower abdominal surgeries.
Patients and methods: Seventy patients of ASA I or II, aged 21-50 years, who planned for elective open lower abdominal surgeries were included. They signed an informed consent and were randomly classified into two groups: [Group I] scheduled for Ilioinguinal and Iliohypogastric nerve block, and [Group II] scheduled for transversus abdominis plane block guided by ultrasound. Postoperative pain assessment was conducted by numerical rating score.
Results:In inguinal hernia repair, pain score at rest was significantly reduced in the TAP group when compared to Group-I at 30 minutes till the seventh hour postoperatively and at 12 up to 15 hours postoperatively. Also, in the CS group, the pain score was significantly decreased in TAP block when compared to nerve block at 90, 105 minutes, and from 4 up to seventh postoperative hours. With movement, pain scores were significantly lower at the 4, 5, 6, 7, 8, 9, 10, and 11 -hours in group II in inguinal hernia. It was significantly decreased at the 90 minutes to 2 -hours in group II in the CS subgroup. The total analgesic requirements were significantly lower in group II.
Conclusion: Ultrasound-guided TAP block tended to be more effective than Ultrasound-guided II/IH nerve block in lowering postoperative pain scores and decreasing the need for rescue analgesia in lower abdominal surgeries.

DOI

10.21608/ijma.2020.48487.1198

Keywords

Ilioinguinal, Iliohypogastric, Transversus Abdominis Plane, Lower Abdominal, Surgery

Authors

First Name

Mostafa Yehia

Last Name

Roshbeik

MiddleName

-

Affiliation

Department of Anesthesia, Intensive Care and Pain Medicine, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.roshbeek@gmail.com

City

-

Orcid

-

First Name

Ezzat M

Last Name

Al-Saudi

MiddleName

-

Affiliation

Department of Anesthesia and Intensive Care, Assiut Faculty of Medicine, Al-Azhar University, Egypt

Email

soudy4655@gmail.com

City

Assiut

Orcid

-

First Name

Adel Alhady

Last Name

Diab

MiddleName

-

Affiliation

Department of Anesthesia, Intensive Care and Pain Medicine, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

adeldiab@yahoo.com

City

-

Orcid

-

First Name

Hany

Last Name

Saied

MiddleName

-

Affiliation

Department of Anesthesia and Intensive Care, Faculty of Medicine, Al-Azhar University, Egypt

Email

aboyehia496@gmail.com

City

Cairo

Orcid

-

First Name

Tarik Saber

Last Name

Sarhan

MiddleName

-

Affiliation

Department of Anesthesia, Intensive Care and Pain Medicine, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

tssicu@gmail.com

City

Damietta

Orcid

0000-0003-0084-4310

Volume

3

Article Issue

1

Related Issue

21557

Issue Date

2021-01-01

Receive Date

2020-11-02

Publish Date

2021-01-01

Page Start

1,097

Page End

1,103

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 1_Pages 1097-1103.pdf

PDF . 1.4MB

Link

https://ijma.journals.ekb.eg/article_127681.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=127681

Order

27

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Ultrasound-Guided Ilioinguinal/Iliohypogastric Nerve Block versus Ultrasound Guided Transversus Abdominis Plane Block for Lower Abdominal Surgeries: A comparative Clinical Study

Details

Type

Article

Created At

22 Jan 2023