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331885

Evaluation of Analgesic Effect of Bupivacaine Injection into Both Angles of the Rectus Sheath Incision after an Elective Caesarean Section

Article

Last updated: 04 Jan 2025

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Abstract

Background: Pain management after a caesarean section (CS) remains a significant clinical challenge, and alternative strategies for analgesia are continually being explored This study aimed to determine the efficacy of injecting the local anesthetic, Bupivacaine, bilaterally into the rectus sheath incision angles to block the ilioinguinal and iliohypogastric nerves, with the aim of reducing postoperative pain in patients undergoing CS under general anesthesia. Methods: A total of 150 female patients scheduled for elective Caesarean section were enrolled in this study. Patients were randomly assigned to one of two groups: Group A received Bupivacaine injections, while Group B received saline injections into the rectus sheath incision angles. Pain assessments, medication usage, and patient satisfaction were evaluated as primary outcome measures. Results: The study revealed that patients in Group A, receiving Bupivacaine injections, experienced significantly lower pain scores at various time intervals, shorter time to the first analgesic request, and a reduced need for meperidine compared to Group B. Additionally, patients in Group A reported higher satisfaction with pain management. Conclusion: Injection of Bupivacaine into both angles of the rectus sheath incision during Caesarean section effectively reduces postoperative pain and improves patient satisfaction.

DOI

10.21608/bmfj.2023.249790.1956

Keywords

Bupivacaine, Caesarean section, Ilioinguinal nerve, Iliohypogastric Nerve, postoperative pain management

Authors

First Name

Ali

Last Name

Al Gazzar

MiddleName

Mahmoud

Affiliation

Professor of Obstetrics and Gynecology, Faculty of Medicine, Benha University

Email

dalialgazzar47@gmail.com

City

-

Orcid

-

First Name

ahmed

Last Name

Abdelazim

MiddleName

samy

Affiliation

Professor of Obstetrics and Gynecology, Faculty of Medicine, Benha University

Email

drahmedsaad@live.com

City

Benha

Orcid

-

First Name

Ahmed

Last Name

Soliman

MiddleName

Saber

Affiliation

Lecturer of Obstetrics and Gynecology, Faculty of Medicine, Benha University

Email

drahmatoqal@gmail.com

City

-

Orcid

-

First Name

Gehad

Last Name

Elsayed

MiddleName

Samir

Affiliation

(M.B.B.Ch, Faculty of Medicine, Benha University)

Email

gehadsamir794@gmail.com

City

-

Orcid

-

Volume

41

Article Issue

4

Related Issue

49714

Issue Date

2024-08-01

Receive Date

2023-11-19

Publish Date

2024-08-01

Page Start

101

Page End

112

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_331885.html

Detail API

https://bmfj.journals.ekb.eg/service?article_code=331885

Order

10

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

Evaluation of Analgesic Effect of Bupivacaine Injection into Both Angles of the Rectus Sheath Incision after an Elective Caesarean Section

Details

Type

Article

Created At

24 Dec 2024