The efficacy of ilioinguinal and iliohypogastric nerve block for postoperative pain after caesarean section
Background: The effect of ilioinguinal and iliohypogastric (II- IH) nerve block on postoperative pain is well docu-mented when performed before Caesarean section (CS) but the efficacy remains unclear when performed after the sur-gical procedure. The aim of this study is to investigate the effect of...
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2010-01-01
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doaj-8397eacb080d4f18a483cd8c6d2216ca2020-11-24T23:32:25ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362010-01-01151613The efficacy of ilioinguinal and iliohypogastric nerve block for postoperative pain after caesarean sectionMelike SakalliAysegül CeyhanHale Yarkan UysalIsin YaziciHülya BasarBackground: The effect of ilioinguinal and iliohypogastric (II- IH) nerve block on postoperative pain is well docu-mented when performed before Caesarean section (CS) but the efficacy remains unclear when performed after the sur-gical procedure. The aim of this study is to investigate the effect of II- IH nerve block on postoperative pain and analge-sic consumption in patients when performed after CS. Methods: Sixty ASA I- II patients, scheduled for elective CS were included in the study. After general anaesthesia, patients were allocated into 2 groups randomly. In group I bilateral II- IH block has been performed after the skin clo-sure, with 10 ml of 0.5% ropivacaine on each side. In group II sham block had been performed. For postoperative anal-gesia all patients received tramadol via i.v patient controlled analgesia. Visual analogue scale (VAS) scored tramadol consumption and side effects. Results: The mean VAS scores in II- IH block group were significantly lower than in sham block group at 6th, 8th, 12th, 24th hours at rest (p < 0.05) and at 6th, 8th hours with movement (p < 0.05). Tramadol usage in II- IH block group was significantly less than in sham block group at all estimated time intervals (p < 0.05). Total tramadol consumption was 331 ± 82 mg in II- IH block group and 622 ± 107 mg in sham block group (p < 0.05). Conclusions: It was observed that II- IH nerve block when performed after the surgery may reduce analgesic con-sumption after CS.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2010;volume=15;issue=1;spage=6;epage=13;aulast=SakalliCaesarean SectionPostoperative AnalgesiaIlioinguinal and Iliohypogastric (II- IH) Nerve Block |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Melike Sakalli Aysegül Ceyhan Hale Yarkan Uysal Isin Yazici Hülya Basar |
spellingShingle |
Melike Sakalli Aysegül Ceyhan Hale Yarkan Uysal Isin Yazici Hülya Basar The efficacy of ilioinguinal and iliohypogastric nerve block for postoperative pain after caesarean section Journal of Research in Medical Sciences Caesarean Section Postoperative Analgesia Ilioinguinal and Iliohypogastric (II- IH) Nerve Block |
author_facet |
Melike Sakalli Aysegül Ceyhan Hale Yarkan Uysal Isin Yazici Hülya Basar |
author_sort |
Melike Sakalli |
title |
The efficacy of ilioinguinal and iliohypogastric nerve block for postoperative pain after caesarean section |
title_short |
The efficacy of ilioinguinal and iliohypogastric nerve block for postoperative pain after caesarean section |
title_full |
The efficacy of ilioinguinal and iliohypogastric nerve block for postoperative pain after caesarean section |
title_fullStr |
The efficacy of ilioinguinal and iliohypogastric nerve block for postoperative pain after caesarean section |
title_full_unstemmed |
The efficacy of ilioinguinal and iliohypogastric nerve block for postoperative pain after caesarean section |
title_sort |
efficacy of ilioinguinal and iliohypogastric nerve block for postoperative pain after caesarean section |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Research in Medical Sciences |
issn |
1735-1995 1735-7136 |
publishDate |
2010-01-01 |
description |
Background: The effect of ilioinguinal and iliohypogastric (II- IH) nerve block on postoperative pain is well docu-mented when performed before Caesarean section (CS) but the efficacy remains unclear when performed after the sur-gical procedure. The aim of this study is to investigate the effect of II- IH nerve block on postoperative pain and analge-sic consumption in patients when performed after CS.
Methods: Sixty ASA I- II patients, scheduled for elective CS were included in the study. After general anaesthesia, patients were allocated into 2 groups randomly. In group I bilateral II- IH block has been performed after the skin clo-sure, with 10 ml of 0.5% ropivacaine on each side. In group II sham block had been performed. For postoperative anal-gesia all patients received tramadol via i.v patient controlled analgesia. Visual analogue scale (VAS) scored tramadol consumption and side effects.
Results: The mean VAS scores in II- IH block group were significantly lower than in sham block group at 6th, 8th, 12th, 24th hours at rest (p < 0.05) and at 6th, 8th hours with movement (p < 0.05). Tramadol usage in II- IH block group was significantly less than in sham block group at all estimated time intervals (p < 0.05). Total tramadol consumption was 331 ± 82 mg in II- IH block group and 622 ± 107 mg in sham block group (p < 0.05).
Conclusions: It was observed that II- IH nerve block when performed after the surgery may reduce analgesic con-sumption after CS. |
topic |
Caesarean Section Postoperative Analgesia Ilioinguinal and Iliohypogastric (II- IH) Nerve Block |
url |
http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2010;volume=15;issue=1;spage=6;epage=13;aulast=Sakalli |
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