Postoperative analgesia with bilateral ilioinguinal and iliohypogastric nerve block in lower segment cesarean section

  • Anjali Poudel Kathmandu University
  • Prashant Kumar Dutta Nepalgunj Medical College
Keywords: Bupivacaine, Ilioinguinal and iliohypogastric nerve block, LSCS

Abstract

Background: Modern techniques incorporate regional anesthesia in pain management and it is the best and safest technique. It avoids the side effects that remain with the traditional use of opioids. Ilioinguinal and iliohypogastric (IIIH) nerve block can provide a satisfactory postoperative analgesia in patients with pfannenstiel incision made in cesarean patients.

Objective: To assess postoperative pain relief with ilioinguinal and iliohypogastric nerves block in patients undergoing lower segment cesarean section (LSCS).

Methods: It is a hospital based comparative study done in Nepalgunj Medical College Teaching Hospital, Kohalpur, Banke in a period of one year. Sixty patients were randomly allocated into the two groups: Group B: (n=30) received bilateral ilioinguinal and iliohypogastric nerve block with 20ml of 0.5% bupivacaine. Group NS: (n=30) received ilioinguinal and iliohypogastric nerve block with 20ml of 0.9% normal saline

Results: The mean effective duration of analgesia measured from the time of onset of spinal blockade to the time of request for analgesia was 264

Author Biography

Anjali Poudel, Kathmandu University

Anesthesiology Department

Senior Resident

References

Karlstrom A, Engstrom-Olofsson R, Norbergh KG, Sjoling M, Hildingsson I. Postoperative pain after cesarean birth affects breastfeeding and infant care. J Obstet Gynecol Neonatal Nurs. 2007 Sep-Oct;36(5):430-40.

Keith L. Moore, Arthur F. Dalley, Anne M.R. Agur. Clinically Oriented Anatomy.7th edt. Baltimore,Wolters kluwer, 2014:p194.

Cervero F, Laird JMA. Visceral Pain. Lancet. 1999;353:2145-8.

Macres SM, Moore PG, Fishman SM. Acute Pain Management. In Barash PG, Cullen BF, Stoelting RK, Cahalan MK, Stock MC, editors. Clinical Anesthesia. 6th ed. Philadelphia: Lippincott William and Wilkins; 2009:p1480.

F.H. Andersen, K. Nielsen and H. Kehlet. Combined ilioinguinal blockade and local infiltration anaesthesia for groin hernia repair, a double blind randomized study. British Journal of Anaesthesia 94 (4): 520
Published
2018-08-28
How to Cite
Poudel, A., & Dutta, P. (2018). Postoperative analgesia with bilateral ilioinguinal and iliohypogastric nerve block in lower segment cesarean section. Journal of Society of Anesthesiologists of Nepal, 4(2), 81-86. Retrieved from http://www.jsan.org.np/jsan/index.php/jsan/article/view/164
Section
Original Article