• Southern medical journal · Jan 2006

    Comparative Study

    Comparison of ilioinguinal-iliohypogastric nerve block versus spinal anesthesia for inguinal herniorrhaphy.

    • Aysun Yilmazlar, Halil Bilgel, Canan Donmez, Ayla Guney, Tuncay Yilmazlar, and Oğuz Tokat.
    • Department of Anesthesiology, Uludag University Medical School, Bursa, Turkey. ayyil@uludag.edu.tr
    • South. Med. J. 2006 Jan 1; 99 (1): 48-51.

    ObjectiveThis study was carried out to determine the optimal anesthetic technique for use in elective herniorrhaphy.MethodsWe retrospectively analyzed 126 inguinal hernia repairs. The patients were allocated to one of two groups: an ilioinguinal-iliohypogastric nerve block group (IHNB group, n = 63) and spinal anesthesia group (SA group, n = 63). We recorded information about perioperative and postoperative parameters.ResultsThere were statistically significant decreases in both mean arterial pressure and pulse rate in the SA group (P < 0.001). None of the patients in the IHNB group required recovery room care. Patients in the IHNB group initiated oral intake (0.31 +/- 0.1 h) more quickly than patients in the SA group (5.74 +/- 0.1 h) (P < 0.001). The time-to-home readiness was significantly lower (14.1 +/- 1.5h) in group IHNB, compared with group SA (42.8 +/- 5.3h) (P < 0.001). First rescue analgesic time postoperatively was 3.30 +/- 0.2 hours in group SA and 2.7 +/- 0.13 hours in group IHNB (P < 0.05).ConclusionThe use of IHNB for patients undergoing herniorrhaphy resulted in a shorter time-to-home readiness, quicker oral intake post surgery, and no need for recovery room care, when compared with the use of SA.

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