A Trial on Post-Operative Pain Management in Pediatric Inguinal Hernia Repair: Us-Guided Tap Versus Us-Guided Iliohypogastric/Ilioinguinal Block
Iranian Journal of Pediatric Surgery,
Vol. 10 No. 2 (2024),
30 October 2024
,
Page 141-153
https://doi.org/10.22037/irjps.v10i2.44186
Abstract
Introduction: Purpose here, we included two groups of patients with inguinal hernia requiring surgical repair. We performed ultrasound-guided (US-guided) transversus abdominis plane (TAP) block on one group and US-guided Iliohypogastric/ilioinguinal (IN/IH) block on the other. We compared the results obtained from each group to compare the efficiency of each method in managing post-operative pain.
Materials and Methods: In this prospective blinded controlled clinical trial, after approval of local ethics committee and randomization of the patients, 25 patients were included in each group. Peripheral nerve blocks (TAP block or IH/IN) were performed under the US guide. Patient pain scores, additional analgesic requirements, and complication rates were documented and compared.
Results: No statistical differences were found regarding demographic characteristics. Cardiopulmonary monitoring showed no complications in any of the groups. The IN/IH block group reported significantly lower pain scores than the TAP groups (immediately and 1 hour after; P: 0.02 and 0.03, respectively). Performing the TAP block took substantially longer (P= 0.04).
Conclusion: IN/IH block results in better pain management following pediatric inguinal hernia repair.
- Pediatric inguinal hernia
- Abdominal surgery
- Herniorrhaphy
- Transverse abdominis block
- Ilioinguinal/iliohypogastric nerve block
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References
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