الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 136 |  |  |
| | | from | 136 | | |
Abstract
This study performed to compare the effect of ilioinguinal\iliohypogastric nerve block and the transversus abdominis plane block on reducing the post operative pain in patients undergoing inguinal hernia surgery under general anaesthesia. And to how extent they lowers the total IV PCA morphine consumption through 24 hours postoperatively.
This study was performed on 51 patients who were scheduled for inguinal hernioraphy surgery.41 males and 10 females The study included the patients of the age group between 21 to 50 and of ASA physical status I and II classification.After patient assessment through history, examination and investigation, the procedures were explained to the patients including VAS and PCA. Patients were randomly allocated on alternative basis to three equal groups, 17 patients for each group. All patients were anaesthetized by general anaeshesia then
Group Ι: received ipsilateral ultrasound guided ilioinguinal iliohypogastric nerve block with 25ml Bupivacaine 0.5%.
Group ΙΙ: received ipsilateral ultrasound guided TAP block with 25ml Bupivacaine 0.5% combined.
Maintainance was done by inhalational anaesthetic
Comparison between the three groups was done regarding the demographic data and postoperative monitoring; including the hemodynamics, quality of postoperative analgesia; including VAS, Time of the first request of analgesia, and total IV PCA consumption, and complications.
In the current study, the use of ultrasound guided ilioinguinal iliohypogastric nerve block result in lowering of the total PCA Morphine consumption during the first 24 hours postoperatively when compared with ultrasound guided transversus abdominis plane block . It was 8.5±1.4 mg Morphine in G1 patients, While in G2 patients, the PCA dose was 10.5 ±1 mg morphine, total morphine consumption in both groups were lower than the control group in which the PCA dose was 19.7±3 mg morphine with a statistical significant difference P = 0.0001.
There was statistical significant difference between the first two groups (ilioinguinal iliohypogastric and transverses abdominis plane block group TAP) and the control group in the time of first PCA dose requirement P value < 0.05 The Mean (±SD) time of the first request of analgesia was longer in the first two groups (II\IH 61±20minutes & TAB group 61±12 minutes) when compared to the control group 14±3minutes.
The postoperative visual analog scale pain scores at rest and on movement was also reduced.There is no statistical difference between the three groups regarding postoperative hemodynamics,