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- Title
Analgesia and discharge following preincisional ilioinguinal and iliohypogastric nerve block combined with general or spinal anaesthesia for inguinal herniorrhaphy.
- Authors
Toivonen, J.; Permi, J.; Rosenberg, P. H.
- Abstract
Preincisional ilioinguinal and iliohypogastric nerve block (IINB) reduces postoperative analgesics after inguinal herniorrhaphy. The effect of an IINB on postoperative pain and discharge profile was therefore studied in day-surgery patients undergoing inguinal herniorrhaphy with general or spinal anaesthesia. Patients in the SPIN-group reported lower post-operative pain scores at 30, 60 min (P < 0.0001) and 120 min (P < 0.05) after surgery, and longer time to first analgesic use (P < 0.0001). Patients in the GA-group had a shorter time to discharge without voiding (P < 0.001) and with voiding (P < 0.05). After discharge, there were no significant differences between the groups regarding pain scores at rest and at walking, or the doses of analgesic. Adverse events were rare in both groups. Only a relatively short immediate analgesic benefit could be demonstrated by a combination of IINB with spinal anaesthesia compared with IINB combined with general anaesthesia. The use of general anaesthesia facilitated an earlier postoperative discharge than spinal anaesthesia.
- Subjects
NERVE block; SPINAL anesthesia; ANESTHESIA; ANALGESIA; GROIN surgery; INGUINAL hernia; CONDUCTION anesthesia; ANESTHESIOLOGY
- Publication
Acta Anaesthesiologica Scandinavica, 2004, Vol 48, Issue 4, p480
- ISSN
0001-5172
- Publication type
Article
- DOI
10.1111/j.1399-6576.2004.00346.x