Your browser doesn't support javascript.
loading
A Comparison between Ilioinguinal and Iliohypogastric Nerve Block and Infiltration of Local Anesthetics for Postoperative Pain after Inguinal Herniorrhaphy in Children / 소아외과
Journal of the Korean Association of Pediatric Surgeons ; : 7-11, 2014.
Artículo en Coreano | WPRIM | ID: wpr-163615
ABSTRACT
The present study compared the postoperative analgesic effects of ilioinguinal and iliohypogastric nerve block with infiltration of local anesthetics (bupivacaine) into the wound in children after inguinal hernia repair. Ninety children below 7 years old who were scheduled elective inguinal hernia repair were randomly allocated into one of three groups. The patients in nerve block (NB) group, ilioinguinal and iliohypogastric nerve block was done with 0.5 mL/kg of 0.25% bupivacaine. The patients in infiltration of local anesthetics (LI) group, 0.5 mL/kg of 0.25% bupivacaine was infiltrated into the wound after surgery. The patients in control group were allocated as a Control group. Postoperative pain was assessed at 1, 3, 5, and 24 hours after operation with FLACC scale and additional analgesic consumption were counted. The three groups were not significantly different in age, sex, body weight, and duration of operation. Pain scores at 1 hour and 3 hours after operation were significantly higher in Control group than in NB group and LI group (p<0.01), whereas there were no difference between NB group and LI group. The rescue analgesics administration was significantly higher in Control group (n=11) than in NB group (n=6) and LI group (n=7) (p<0.05). There were 2 cases of transient femoral nerve palsy in NB group. Both of ilioinguinal and iliohypogastric nerve block and infiltration of local anesthetics into the wound provided effective postoperative analgesia in early postoperative period following inguinal hernia repair in children. But no difference between the two methods. Technically, infiltration of local anesthetics into the wound was easier and safer than ilioinguinal and iliohypogastric nerve block.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Dolor Postoperatorio / Parálisis / Periodo Posoperatorio / Heridas y Lesiones / Peso Corporal / Bupivacaína / Nervio Femoral / Herniorrafia / Hernia Inguinal / Analgesia Límite: Niño / Humanos Idioma: Coreano Revista: Journal of the Korean Association of Pediatric Surgeons Año: 2014 Tipo del documento: Artículo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Dolor Postoperatorio / Parálisis / Periodo Posoperatorio / Heridas y Lesiones / Peso Corporal / Bupivacaína / Nervio Femoral / Herniorrafia / Hernia Inguinal / Analgesia Límite: Niño / Humanos Idioma: Coreano Revista: Journal of the Korean Association of Pediatric Surgeons Año: 2014 Tipo del documento: Artículo