2017
DOI: 10.1007/s00540-017-2378-3
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Comparison of efficacy of transversus abdominis plane block and iliohypogastric/ilioinguinal nerve block for postoperative pain management in patients undergoing inguinal herniorrhaphy with spinal anesthesia: a prospective randomized controlled open-label study

Abstract: We conclude that administration of TAP block or IHINB for patients undergoing inguinal herniorrhaphy reduces the intensity of both acute and chronic postoperative pain and additional analgesic requirements.

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Cited by 21 publications
(30 citation statements)
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“…However, TAPB and IHINB as post-operative analgesia for cesarean section has been rarely reported (5). Similar results from the study by Okur et al (21) were obtained in the present study, with the analgesic effect of TAPB and IHINB being comparable after the first 12 h. However, better analgesia was achieved in the IHINB group than that in the TAPB group after 24 h, with a lower VAS score and morphine consumption. Of note, multiple modes of analgesia in addition to local nerve block must be given for patients undergoing cesarean section, since the pain is a combination of somatic pain and visceral pain (22).…”
Section: Discussionsupporting
confidence: 92%
See 1 more Smart Citation
“…However, TAPB and IHINB as post-operative analgesia for cesarean section has been rarely reported (5). Similar results from the study by Okur et al (21) were obtained in the present study, with the analgesic effect of TAPB and IHINB being comparable after the first 12 h. However, better analgesia was achieved in the IHINB group than that in the TAPB group after 24 h, with a lower VAS score and morphine consumption. Of note, multiple modes of analgesia in addition to local nerve block must be given for patients undergoing cesarean section, since the pain is a combination of somatic pain and visceral pain (22).…”
Section: Discussionsupporting
confidence: 92%
“…Hence, it was hypothesized that IHINB had a better effect than TAPB. A prospective randomized controlled open-label study led by Okur et al (21) compared the postoperative analgesic effect of TAPB and IHINB in patients undergoing inguinal herniorrhaphy with spinal anesthesia, revealing that TAPB and IHINB have a better effect than the controls using morphine only, and the time to first request of morphine in patients with the IHINB was shorter than the other two groups (21). However, TAPB and IHINB as post-operative analgesia for cesarean section has been rarely reported (5).…”
Section: Discussionmentioning
confidence: 99%
“…Various studies have showed TAP or IL/IH nerve blocks have reduced acute post-operative pain, additional analgesic requirements and may reduce the incidence of chronic pain after hernia repair. [48]…”
Section: Discussionmentioning
confidence: 99%
“…At 95% confidence level and 90% power of the study according to study done by Okur et al . [8] Additional analgesia required in GT group (Group TAP Block) was 10% and GI group (Group IL/IH Block) is 30% of the study subjects. The sample size calculated is 84 in each group, that is 84 in GT group and 84 in GI group.…”
Section: Methodsmentioning
confidence: 99%
“…In the meta-analysis of Wang et al (18) in 2016, it was emphasized that ultrasoundguided II/IH nerve or TAP blocks reduce the need for analgesia during surgery and reduce the pain scores significantly. Similarly, in the study of Okur et al (19), it was determined that in the groups with a block, the pain scores were lower, the duration of analgesia was longer, and the need for rescue analgesia was less. In the present study, no difference was found between the two regional anesthesia groups.…”
Section: Discussionmentioning
confidence: 99%