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العنوان
A comparative study between ultrasound guided ilioingunial/iliohypogastric nerve block versus transverse abdominis plane block in patients undergoing oblique inguinal
hernia repair/
المؤلف
Elwany,Ahmed Fathi
هيئة الاعداد
باحث / أحمد فتحي علواني
مشرف / ســهير محمـد عبـاس
مشرف / عمرو محمد عبدالفتاح
مشرف / غــاده محمــد ســمير
مشرف / ناصر السـيد السـيد
تاريخ النشر
2022
عدد الصفحات
88.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/1/2022
مكان الإجازة
جامعة عين شمس - كلية الطب - Anesthesia
الفهرس
Only 14 pages are availabe for public view

from 88

from 88

Abstract

Abstract
Background: Transverse abdominis plane (TAP) block and combined ilioinguinal-iliohypogastric (IIN/IHN) blocks are used routinely under ultrasound (USG) guidance for postoperative pain control in patients undergoing inguinal hernia repair surgery. This study compares USG guided TAP versus IIN/IHN block for post-operative analgesic efficacy in adults undergoing inguinal hernia surgery, among 100 patients randomized into group (A) received TAP block by using Levobupivacaine 0.5% 25ml and group (B) received IIN+IHN blocks by using Levobupivacaine 0.5% 10ml before induction of general anesthesia. Results: The mean duration (in minutes) to require rescue analgesia was found to be 1003.2 ± 99.6 (mints) in group A and 1317 ± 69 (mints) in group B. On comparison of these two values the difference in mean time to rescue analgesic requirement was statistically significant (p<0.001) Conclusions: USG guided IIN/IHN block delays the need for rescue analgesia and reduces the postoperative analgesic requirement compared to USG guided TAP block.