Postoperative analgesia with bilateral ilioinguinal and iliohypogastric nerve block in lower segment cesarean section
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
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
Copyright (c) 2018 Anjali Poudel
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.