çanakçi, ebru ordu üniversitesi - tıp fakültesi, eğitim ve araştırma hastanesi - anestezi ve reanimasyon anabilim dalı, Turkey , taş, nilay ordu üniversitesi - tıp fakültesi, eğitim ve araştırma hastanesi - anestezi ve reanimasyon anabilim dalı, Turkey , yağan, özgür ordu üniversitesi - tıp fakültesi, eğitim ve araştırma hastanesi - anestezi ve reanimasyon anabilim dalı, Turkey , mutlu, tuğçe ordu üniversitesi - tıp fakültesi, eğitim ve araştırma hastanesi - anestezi ve reanimasyon anabilim dalı, Turkey , karakahya, murat ordu üniversitesi - egitim ve arastirma hastanesi, tip fakültesi - genel cerrahi anabilim dali, Turkey

Unilateral Inguinal Hernia Repair and Ilioinguinal Iliohypogastric Block: Our Perioperative and Postoperative Findings

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Objective: The purpose of this study is to evaluate hemodynamic effects, postoperative analgesia, the time period to reach the discharge criteria and satisfaction of the patient and the surgeon by spinal anaesthesia (SA) alone and ilioinguinal iliohypogastric nerve block (IIIHNB) combined with spinal anaesthesia in patients undergoing unilateral inguinal hernia surgery. Material and Method: 3 ml of 0.5% hyperbaric bupivacaine SA (Group S) was given to 25 patients in ASA I-II risk group; and 20 ml of 0.5% bupivacaine and IIIHNB (Group SII) were given to 25 patients in addition to spinal anaesthesia. Results: The average block practice time for Group SII was found to be significantly long compared to Group S (20.1±4.1 and 3.5±2.9 min.). When sufficient sensory block formation time was compared (21.3±6.5 and 7.8±2.9 min.), it was found to be significantly longer in Group S. At the end of sensory block time, it was also significantly longer for Group SII (129.6±103.9 and 404.5±71.2 min) (p=0.034) .There was no difference detec-ted in the initial mobilization period and the time period to reach discharge criteria between the groups (respectively p=0.079,p=0.084). The avera-ge VAS values for Group SII in the first, second, fourth, sixth and twelfth hours after the operation were significantly low (respectively p=0.016, p=0.029, p=0.038, p=0.042, p=0.031). In the postoperative period of the first 12 hour there was a need for tramadole in 8 patients in Group S, but not in Group SII. In both of the groups, none of the patients were excluded from the study because of failed blocks. Patient and surgeon satisfaction were similar between the groups. Perioperative vital signs remained stable in both groups and there was no significant difference in the statistical analysis Conclusion: IIIHNB application in addition to spinal anaesthesia in the surgery of unilateral inguinal hernia, provides longer lasting postoperative analgesia and increases patients’ comfort.

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İlioinguinal İliohypogastric Block , İnguinal Hernia , Spinal Anaesthesia.

Fırat Medical Journal

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