Block For Inguinal Hernia Surgery

Though not a very extensive surgery inguinal hernia repair is reported to be associated with about 60 incidence of moderate to severe postoperative pain. Approval was obtained from the designated review board of the institution. Tap block was reported to provide better or at least comparable postoperative analgesia in adult patients undergoing inguinal hernia repair.

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Repair of inguinal hernia is one of the most commonly performed procedures with most of them being performed on a day surgery center.

Block for inguinal hernia surgery. Fourth in the series of primary regional anaesthesia techniques previous three being incisional hernia knee block and supraclavicular brachial plexus block. If it has been less than 6 months following surgery some natural pain from the procedure may still be expected. Moreover 0 to 54 of this acute postoperative pain develops into chronic pain. Postoperative pain following open inguinal hernia repair ihr is rated as moderate to severe by as many as two thirds of patients and is challenging to treat with opioids alone inadequate postoperative analgesia can lead to the development of chronic pain which occurs at a rate of up to 54 in this population although a wide body of literature exists to address this.

To determine the best course of action for lasting pain following inguinal hernia repair we must get our bearings on the underlying cause of the problem. Pain after laparoscopic inguinal hernia surgery can be moderate to severe interfering with return to normal activity. 8 10 however an increasing number of studies have shown that ii ih block provided better pain control than tap block following the inguinal hernia repair both in children and adults. The study aimed to assess the efficacy of bilateral ultrasound guided usg transversus abdominis plane tap block for relieving acute pain after laparoscopic hernia repair as t10 l1 nerve endings are anesthetized.

Transversus abdominis plane tap block has been used as a sole anaesthetic technique for the patients with multiple co morbidities presenting for emergency laparotomy 1 2 we share our experience of using tap block for the surgical anaesthesia in two patients scheduled for inguinal hernioplasty who had associated complex medical conditions. A 44 year old woman was referred to our pain clinic for management of persistent right inguinal area pain after laparoscopic right herniorrhaphy performed 5. The following actual case illustrates one potential pitfall of ultrasound guided nerve blocks for diagnosis and treatment of neuralgic pain following laparoscopic inguinal hernia repair. Tap block targets the branches of the t7 l1 spinal nerves within the lateral abdominal wall and is used in abdominal procedures such as inguinal hernia repair and total abdominal hysterectomy.

What to do about post hernia surgery pain. We started laparoscopic surgery for inguinal hernia in june 2012 and tap and rs block with laparoscopic hernia surgery in january 2013. Written informed consent was obtained from all patients.