scholarly journals Ultrasound guided ilioinguinal & iliohypogastric nerve blocks combined with genital branch of genitofemoral nerve block for open inguinal hernia repair

2020 ◽  
Vol 08 (07) ◽  
Author(s):  
Dr Amol A Pandav ◽  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Nerve Block ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Genitofemoral Nerve ◽  
Open Inguinal Hernia Repair ◽  
Genital Branch

A COMPARISON STUDY BETWEEN ULTRASOUND-GUIDED AND CONVENTIONAL (BLIND) ILIOINGUINAL/ ILIOHYPOGASTRIC NERVE AND GENITAL BRANCH OF GENITOFEMORAL NERVE BLOCKS FOR OPEN INGUINAL HERNIA REPAIR.

2021 ◽  
pp. 25-27
Author(s):  
Binish Khan ◽  
Nirav Kotak ◽  
Kartika Rathi ◽  
R.D Patel
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
General Anaesthesia ◽  
Inguinal Hernia Repair ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Genitofemoral Nerve ◽  
Vas Scores ◽  
Open Inguinal Hernia Repair ◽  
Genital Branch

Background: Inguinal hernia repair is the commonest operation in surgical practice. Now it is also performed under regional nerve blocks by blocking nerves ilioinguinal (II)/iliohypogastric (IH) and genital branch of genital femoral nerve combined with a surgical feild inltration with a long-acting local anaesthetic(LA) agent. LA inltration improves acute postoperative pain management, decreases postoperative visual analogue scale(VAS)scores, opioid demand, and time to rst rescue analgesic administration. Thi Objective: s study was carried out to compare the effect of ultrasound guided ilioinguinal/ iliohypogastric nerve and genital branch of genitofemoral nerve block with conventional (blind) block in terms of success rate, postoperative analgesia and complications. Method: We conducted a prospective randomized controlled studyamongst 100 ASA I-III patients posted electively for open inguinal hernia repair. Various parameters such as age, sex, weight, BMI, vitals like pulse rate, ECG, blood pressure was recorded and Post-Operative VAS at 30minutes, 1hr, 1hr30mins, 2hrs, 2hrs30mins, 3hrs, 3hrs30 minutes and 4hours was noted. Qualitative and quantitative analysis was done. Result: In conventional group 8 (16%) patients amongst 50 (100%) required general anaesthesia in between the surgery even after sedation + analgesia+ propofol whereas in USG group 2 (8%) patients required general anaesthesia. The patient receiving USG guided block had signicantly lower post-operative VAS scores till 2 hours 30 mins as compared to the patient receiving conventional ILN/INH nerve blocks who had higher VAS scores . There Conclusion : by we found that ultrasound guided block for open inguinal hernia repair has signicantly better patient care in comparison with conventional block.

Ultrasound-guided genitofemoral nerve block for inguinal hernia repair in the male adult: a randomized controlled pilot study

2018 ◽  
Vol 84 (2) ◽  
Author(s):  
Luciano FRASSANITO ◽  
Bruno A. ZANFINI ◽  
Sara PITONI ◽  
Paolo GERMINI ◽  
Miryam DEL VICARIO ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Pilot Study ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Nerve Block ◽  
Ultrasound Guided ◽  
Male Adult ◽  
Genitofemoral Nerve ◽  
Randomized Controlled

scholarly journals Analysis of Ultrasound-guided Ilioinguinal and Iliohypogastric Nerve Block in Tension-Free Inguinal Hernia Repair in Elderly Patients

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Qikai Liao ◽  
Dongmei Xie
Keyword(s):  
Inguinal Hernia ◽  
Elderly Patients ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Nerve Block ◽  
Control Group ◽  
Study Group ◽  
Ultrasound Guided ◽  
Hernia Sac ◽  
Tension Free

Objective: To explore the value of ultrasound-guided ilioinguinal and iliohypogastric nerve block (IINB) in tension-free inguinal hernia repair in elderly patients. Methods: A total of 70 elderly patients with tension-free inguinal hernia repair who treated in the hospital from April 2018 to November 2019 were selected and divided into two groups according to the random number table method, with 35 cases each. The control group underwent infiltration of local anesthesia(LA), and the study group added with IINB. The visual analogue scale (VAS) scores of the two groups of patients were compared. Results: The VAS score of the study group when pulling the hernia sac was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: IINB has good analgesic effect in tension-free inguinal hernia repair in elderly patients, and it is worth promoting.

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