scholarly journals Evaluation of three different regional anesthetic techniques in postoperative pain control after inguinal hernia repair operations in adults patients

2019 ◽  
Vol 2 (1) ◽  
pp. 36-42
Author(s):  
Ghada A. Mohamed ◽  
Osama H. Salman ◽  
Ahmed Y. Abdelzaher
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Pain Control ◽  
Anesthetic Techniques ◽  
Postoperative Pain Control ◽  
Regional Anesthetic

Inguinal Hernia Repair in a Neonate

2019 ◽  
pp. 294-311
Author(s):  
Andrew D. Franklin ◽  
J. Matthew Kynes
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Local Anesthetic ◽  
Transversus Abdominis ◽  
Opioid Analgesia ◽  
Anesthetic Techniques ◽  
Inflammatory Drugs ◽  
Regional Anesthetic ◽  
Neonatal Population

This chapter describes inguinal hernia repair in the neonatal infant, which is one of the most commonly performed pediatric surgeries on an ambulatory basis. However, as many patients were born prematurely, a variety of analgesic concerns exist such as comorbid chronic lung disease or the concurrent risk of postoperative apnea depending on age at presentation. Additionally as acute pain in the neonatal population is often underappreciated and may have a lasting impact, numerous analgesic modalities should be considered. Intraoperatively, while general anesthesia is an option, numerous regional anesthetic techniques are available that may minimize the use of sedating agents. Both neuraxial (epidural, spinal, caudal injection) and peripheral (ilioinguinal/iliohypogastric blockade, paravertebral blockade, or transversus abdominis plane blockade) are available as analgesic modalities and in some scenarios surgical modalities. With the use of any of these modalities, complications such as nerve damage, failed block, and local anesthetic toxicity may occur. Following surgery, some neonates may require further monitoring for apneic events. Upon discharge, non-opioid analgesia including acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) if age permits should be emphasized.

Inguinal Hernia Repair Using Self-adhering Sutureless Mesh: Adhesix™: A 3-Year Follow-up with Low Chronic Pain and Recurrence Rate

2016 ◽  
Vol 82 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Malek Tabbara ◽  
Laurent Genser ◽  
Manuela Bossi ◽  
Maxime Barat ◽  
Claude Polliand ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Recurrence Rate ◽  
Initial Surgery ◽  
Complications Rate

To review our experience and outcomes after inguinal hernia repair using the lightweight self-adhering sutureless mesh “Adhesix™” and demonstrate the safety and efficacy of this mesh. This is a 3-year retrospective study that included 143 consecutive patients who underwent 149 inguinal hernia repairs at our department of surgery. All hernias were repaired using a modified Lichtenstein technique. Preoperative, perioperative, and postoperative data were prospectively collected. Incidence of chronic pain, postoperative complications, recurrence, and patient satisfaction were assessed three years postoperatively by conducting a telephone survey. We had 143 patients with a mean age of 58 years (17–84), who underwent 149 hernia repairs using the Adhesix™ mesh. Ninety-two per cent (131 patients) were males. Only 10 patients (7%) had a postoperative pain for more than three years. In our series, neither age nor gender was predictive of postoperative pain. Only one patient had a hematoma lasting for more than one month and only four patients (2.8%) had a recurrence of their hernia within three years of their initial surgery. Ninety per cent of the patient expressed their satisfaction when surveyed three years after their surgery. In conclusion, the use of the self-adhering sutureless mesh for inguinal hernia repair has been proving itself as effective as the traditional mesh. Adhesix™ is associated with low chronic pain rate, recurrence rate, and postoperative complications rate, and can be safely adopted as the sole technique for inguinal hernia repair.

Lumbosacral paraspinal interfascial plane blocks for pain control after feminizing genital gender affirmation surgery

2021 ◽  
Author(s):  
Sudipta Sen ◽  
Johanna B de Haan ◽  
Grace Guvernator ◽  
Andrzej P Kwater ◽  
Xuan T Langridge ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Pain Control ◽  
Case Series ◽  
Erector Spinae ◽  
Anesthetic Techniques ◽  
Pain Scores ◽  
Gender Affirmation ◽  
The Usa ◽  
Gender Affirmation Surgery ◽  
Regional Anesthetic

Aim: Feminizing genital gender affirmation surgery (fgGAS) is increasing in prevalence in the USA. Management of postoperative pain following fgGAS is challenging. We report a series of patients where post-fgGAS pain was adequately controlled with paraspinal blocks. Materials & methods: This is a case series of three patients who received bilateral lumbar and sacral erector spinae plane blocks after fgGAS. Block techniques, medications administered, opioid requirements and pain scores were reviewed. Results: Erector spinae plane blocks provided adequate analgesia for 24–48 h following the block. Conclusion: Currently, there are two regional anesthetic techniques described for the treatment of postoperative pain after fgGAS. We describe two additional approaches as options for improved pain management in this patient population.

scholarly journals O41 PREDICTORS OF LOW QUALITY AFTER OPEN INGUINAL HERNIA REPAIR USING THE EURAHS-QOL SCORE: PROSPECTIVE MULTICENTRIC COHORT STUDY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Joana Simoes ◽  
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Fixation ◽  
Absorbable Mesh ◽  
Open Inguinal Hernia Repair

Abstract Aim Evidence about factors influencing quality of life after inguinal hernia surgery is scarce. This study aimed to identify predictors of low Quality of Life (QoL) after open inguinal hernia repair, to guide practice and inform patients at high risk. Material and Methods Prospective multicentric cohort study including consecutive patients undergoing elective open inguinal hernia repair in Portuguese hospitals (October-December 2019). The primary outcome was Quality of Life at 3 months after surgery, using the EuraHS-QoL score (higher score correlates with lower QoL). Low QoL was defined as the higher EuraHS-QoL score tertile and multivariate logistic regression was used to identify predictors. Results 893 patients were included from 33 hospitals. The majority were men (89.9% [800/891]), had unilateral hernias 88.7% (774/872) and the most common surgical technique was Lichtenstein’s repair (52.9% [472/893]). The median QoL score was 24 (IQR 10-40) before surgery and 2 (IQR 0-10) at 3 months after surgery, showing significant improvement (p < 0.001). After adjustment, low QoL at 3 months was associated with low preoperative QoL (OR 1.76, 95% CI 1.21-2.57, p = 0.003), non-absorbable mesh fixation (OR 1.64, 95% CI 1.12-2.41, p = 0.011), severe immediate postoperative pain (OR 2.90, 95% CI 1.66-5.11, p < 0.001) and minor postoperative complications (OR 2.23, 95% CI 1.30-3.84, p = 0.004). Conclusions This study supports the use of the EuraHS-QoL score preoperatively to inform consent. Although significant improvement in QoL is expected after surgery, high scores before surgery are associated with low postoperative QoL. Caution should be taken with non-absorbable mesh fixation and immediate postoperative pain control should be optimised.

scholarly journals Magnesium Versus Bupivacaine Infiltration in Controlling Postoperative Pain in Inguinal Hernia Repair

2015 ◽  
Vol 5 (6) ◽  
Author(s):  
Seyed Sajad Razavi ◽  
Hasan Peyvandi ◽  
Ali Reza Badrkhani Jam ◽  
Farhad Safari ◽  
Houman Teymourian ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Inguinal Hernia Repair
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