To Compare ILI/IHG Block to Wound Infiltration for Pain Relief After Hernia Repair Clinical Trial
Official title:
A Comparison Between Ultrasound Guided Ilioinguial/Iliohyphogastic Nerves Block and Infiltration of Wound With Ropivacaine on Post-Operative Pain After Open Repair of Unilateral Inguinal Hernia in Adults: A Randomized Controlled Trial
This study was conducted to assess the postoperative painscores in patients undergoing open inguinal hernia repair between two groups receiving either U/S guided ilioinguinal/iliohypogastric nerves block with Ropivacaine or wound infiltration with Ropivacaine.The safety of two analgesic interventions(ilioinguinal/iliohypogastric nerves blocks and wound infiltration) was measured alongwith comparison of opioid use between the two groups over 24 hours postoperatively was made. Patient satisfaction between the two groups was also assessed by the Likert scale.
Pain is a concerning problem in patients with open inguinal hernia repair. Hence, multi modal
analgesia is recommended to overcome this issue. Therefore this randomized controlled trial
was conducted to compare the analgesic efficacy of ultrasound guided
Ilioinguinal/Iliohyphogastric nerve block vs. local anaesthetic infiltration of wound with
Ropivacaine on postoperative pain after open repair of unilateral inguinal hernia in adults.
This study was conducted at Aga Khan University Hospital Karachi.It is a Randomised
controlled trial conducted from March 2019 to October 2019. 60 participants for elective
unilateral open inguinal hernia repair were included. Patients were randomly allocated (30
each) to one of the two groups. Group I received ILI/IHG nerve block where 20mls 0.25%
Ropivacaine was infiltrated around the nerves under U/S guidance, and group II received local
anaesthetic infiltration (Ropivacaine 20mls 0.25%) at the end of surgery at the incision site
to provide postoperative analgesia. Postoperative pain at rest (static) and on movement
(dynamic) was assessed on VRS scale at 0= no pain , 1-3=mild pain, 4-6=moderate pain,
7-10=severe pain at 0, 2,6, 12, 24 hours, either in person or telephone. Total tramadol
consumption and time for first tramadol requirement was noted.
In addition complications related to IHG block and LA infiltration were observed.Patient
satisfaction was also gauged by the LIKERT scale in the questionairre.
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