ABSTRACT:
Introduction & Objective: Postoperative pain management and
narcotic usage after inguinal hernia repair is an important concern
for anesthesiologists and surgeons. The purpose of this study was
to find out whether the use of local anesthetic nerve block in
ilioinguinal and iliohypogastric region by bupivacaine could reduce
postoperative pain and hospital admission periods after inguinal
hernia repair.
Materials & Methods: In a randomized clinical trail, 100 patients
with diagnosis of unilateral inguinal hernia undergoing inguinal
hernia repair were randomly allocated to two groups. The patients
in the intervention group (n= 50) received bupivacaine for
ilioinguinal and iliohypogastric nerve blocking, while those in the
control group (n =50) received nothing. Then opioids (methadone)
usage and hospital admission duration were evaluated in the two
groups. The collected data were then analyzed by SPSS software
using descriptive and analytic methods (Chi square and student t
test).
Results: The mean admission times were 1±0.4 and 2±0.91 in the
intervention and control groups respectively and the difference was
statistically significant (p<0.01). Also the number of the patients
who intermittently received methadone was less in the intervention
group in comparison with that of the control (p<0.05). Furthermore,
intervention group received less amount of methadone during their
admission (p<0.05).
Conclusion: Local anesthetic nerve block in ilioinguinal and
iliohypogastric region by bupivacaine could reduce opioids usage
and the duration of hospital stay after inguinal hernia repair.
Khorshidi H, Azimian M, Fazlian M. The Bupivacaine Effects on Opioids Usage and Admission Duration in Patients Underwent Inguinal Hernia Repair. armaghanj 2007; 12 (1) :11-18 URL: http://armaghanj.yums.ac.ir/article-1-864-en.html