Postoperative analgesia requirements after inguinal hernia repair: effects of wound infiltration

Chekairi, Ahmed; Khan, Khurram

doi:10.1111/j.1365-2044.2007.05204_1.x

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…Previous studies have demonstrated that local anaesthetic infiltration was effective after parietal surgery such as inguinal hernia repair [12–16]. …”

Section: Discussionmentioning

confidence: 99%

Analgesic Efficacy of Pfannenstiel Incision Infiltration with Ropivacaine 7.5 mg/mL for Caesarean Section

Nguyen

Landais

Barbaryan

et al. 2010

Anesthesiology Research and Practice

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Background. Pain after Caesarean delivery is partly related to Pfannenstiel incision, which can be infiltrated with local anaesthetic solutions. Methods. A double- blind randomized control trial was designed to assess the analgesic efficacy of 7.5 mg/mL ropivacaine solution compared to control group, in two groups of one hundred and forty four parturients for each group, who underwent Caesarean section under spinal anaesthesia: group R (ropivacaine group) and group C (control group). All parturients also received spinal sufentanil (2.5 μg). Results. Ropivacaine infiltration in the Pfannenstiel incision for Caesarean delivery before wound closure leads to a reduction of 30% in the overall consumption of analgesics (348 550 mg for group R versus 504 426 mg for group C with P < .05), especially opioids in the first 24 hours, but also significantly increases the time interval until the first request for an analgesic (4 h 20 min ± 2 h 26 for group R versus 2 h 42 ± 1 h 30 for group C). The P values for the two groups were: P < .0001 for paracetamol, P < .0001 for ketoprofen and P for nalbuphine which was the most significant. There is no significant difference in the threshold of VAS in the two series. Conclusion. This technique can contribute towards a programme of early rehabilitation in sectioned mothers, with earlier discharge from the post-labour suite.

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“…Previous studies have demonstrated that local anaesthetic infiltration was effective after parietal surgery such as inguinal hernia repair [12–16]. …”

Section: Discussionmentioning

confidence: 99%