Abstract ID: A19
Abstract Title: COMPARISON OF ILIOINGUINAL-ILIOHYPOGASTRIC NERVE BLOCK AND SPINAL ANAESTHESIA FOR INGUINAL HERNIORRAPHY
Poster Type: Poster
ABSTRACT BODY
Aim: This study carried out to determine the choice of anaesthetic technique in elective inguinal herniorraphy.
Methods: We recorded 126 inguinal hernia repairs done in Uludag University from January 1, 1999 to December 31, 2002. ASA I-II-III patients were randomly allocated to one of two groups: an ilioinguinal-ilihypogastric nerve block group (IHB group, n=63) and spinal anaesthesia group (SA group, n=63). We recorded information about peroperative and postoperative parameters. Mann-Whitney tests and Wilcoxon Signed Ranks tests were used for intergroup comparisons.
Results: There were no statistically significant difference among the two anaesthetic technique groups with respect to demographic characteristics (gender, age, ASA classification, type of hernia, type and duration of surgery). There was statistically decreasing in both mean arterial pressure and pulse rate of group SA (p≤0.001), only in pulse rate of group IHB (p≤0.001) after the anaesthesia technique. Requiring general anaesthesia was equall in both groups. None of patient in group IHB underwent to the recovery room. Patients in group IHB had faster oral intaking (0.31±0.1h) than patients in group SA (5.74 ± 0.1h) (p≤0.001). The time-to-home readiness was significantly low (14.1± 1.5h) in group IHB compared with group SA (42.8± 5.3h)(p≤0.001). First resque analgesic time was postoperative 3.30± 0.2 h in group SA and 2.7±0.13h in group IHBÜ
(p≤0.05). But, the patients and surgeon satisfaction with anasthesia were similar.
Discussion and Conclusion: The use of ilioinguinal-iliohypogastric nerve block for undergoing inguinal herniorraphy resulted in a shorter time-to-home readiness and oral intaking, no need recovery treatment. In situations where fast tracking can provide benefits for the patients like outpatient cases, ilioinguinal-iliohypogastric nerve block would appear to offer advantages over spinal anaesthesia technique for inguinal herniorraphy procedures.
Key Words: ilioinguinal-iliohypogastric nerve block, spinal anaesthesia, herniorraphy
References:
1.Young DV, Am J Surg, 1987;153:560-563
2.Callesen T,et al. Anesth Analg 2001, 93: 1373-1376
ATTACHED FILES
Reg Anesth Pain Med 2004; 29(2):A19