Postoperative analgesia after inguinal herniorrhaphy with bupivacaine by instillation and nerve block
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 21, Issue 2
Abstract
Background: Inguinal herniorrhaphy in adults is considered a minor surgical procedure but can be associated with significant postoperative pain. This study was undertaken to evaluate and compare instillation and nerve block techniques using 0.5% bupivacaine for postoperative analgesia after inguinal herniorrhaphy in adults. Material and Methods: In this study a total of 90 patients, above the age of 20 years, posted for elective inguinal herniotomy and herniorrhaphy were divided into three equal groups of 30 each. Group I received general anaesthesia, Group II and III received 0.5% bupivacaine instillation and nerve block in addition to general anaesthesia. Pain scores, degree of pain and duration of satisfactory analgesia was determined for each patient in groups. Results: The mean pain scores in group II and III when compared with control group the difference was found to be statistically significantly (p < 0.05). In group II, 73% of patients had satisfactory analgesia for 0-6 hours, in group III, 83% of patients had satisfactory analgesia for 7-12 hours. Discussion: The postoperative pain relief provided with 0.5% bupivacaine in conjunction with general anaesthesia gives good results after herniotomy and herniorrhaphy with instillation and nerve block techniques.
Authors and Affiliations
T K Karande, Mohamad Ashfaque
Keywords
Related Articles
- EP ID EP496607
- DOI -
- Views 106
- Downloads 0
A study on CVA and its clinical correlation with CT scan brain findings
Background: Stroke/CVA is an abrupt onset of neurological deficit due to focal vascular cause, and it needs both clinical and laboratory studies including brain imaging for diagnosis. The clinical manifestations of strok...
Prospective Study of Infections of Foot in Diabetic Patients
Background: Diabetes is one of the oldest diseases known to mankind. The Ebers Papyrus of 1500 B.C. mentions symptoms and suggests treatment of diabetes. The history of gangrene of the foot goes back to Biblical time, wh...
Laparoscopy as method of choice for diagnosing and treating peritoneal and intestinal tuberculosis A multicentric study
There are various modalities like x ray, ultrasonography, CT, MRI, Laparoscopy etc that can be used for making sure and certain diagnosis of isolated abdominal tuberculosis. Among them when these were evaluated with each...
Clinical spectrum of acute renal failure in trauma cases: A study from tertiary care center
Background: Acute renal failure (ARF) in the trauma cases is associated with extremely high mortality rates. Understanding the changing spectrum of ARF will be necessary to facilitate quality improvement efforts and to d...
Orbital cellulitis – An Unusual First Clinical Presentation in Undiagnosed Diabetic Patient
Orbital cellulitis is a common condition seen by ophthalmologists. But first time presentation of orbital cellulitis & proptosis because of undiagnosed uncontrolled diabetes and the patient being unaware of diabetes...