Success rate of two different methods of ilioinguinal-iliohypogastric nerve block in children inguinal surgery

Seyedhejazi, Mahin; Daemi, Omid Ranjbar; Taheri, Reza; Ghojazadeh, Morteza

doi:10.4103/0189-6725.120905

Cited by 10 publications

(18 citation statements)

References 10 publications

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“…The success rates were almost similar across two groups, at 94.8% and 94.5%, respectively. In this study, analgesia was required in the first 1-2 hours in 15 cases in group 1(25.9%), and 10 cases in group 2 (18.2%) [1].…”

Section: Discussionmentioning

confidence: 65%

“…In all these studies, the authors used single "pop" sensation techniques, injecting local anesthetics under external oblique muscle aponeurosis, with failure rates ranging from 25.8% to 33% [31,1,2,28,30]. In Kundra's study, injection of the local anesthetics above and below internal oblique muscle aponeurosis demonstrate a success rate of 94% [29].…”

Section: Discussionmentioning

confidence: 99%

“…Ilioinguinal and iliohypogastric (ILIH) nerve block is the most common abdominal wall block used for surgical procedures of inguinal area, especially inguinal hernia repair, pediatric orchiopexy, and emergency procedures such as an obstructed hernia [1][2][3][4]. It is considerably safe, low risk, and effective block.…”

Section: Introductionmentioning

confidence: 99%

“…There are studies that show the use of needle entry point in the medial anterior Vol. 3• No.1• February 2017 superior iliac spine (ASIS) for the anatomical landmark (AL) technique [1,[7][8][9][10][11]. However, there are also studies pointing out the variations of lumbar nerve origins and progress of ILIH nerves in the anterior abdominal wall [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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2017

Cent Asian J Med Sci

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Objectives:To examine ilioinguinal and iliohypogastric (ILIH) nerve block techniques among children. Methods: A total of 120 children, aged 1-16 years, were included in this prospective, randomized, single-blinded study. Children received an ILIH nerve block using the conventional fascial click of double "pop" technique on four different points: (Group I, n=30) ILIH block at the junction of the lateral one-fourth, the medial three-fourth in the line from the anterior superior iliac spine (ASIS) to the umbilicus; (Group II, n=28) approximately 2.5 mm medial to the ASIS; (Group III, n=30) 10 mm medial-superior to the ASIS; and (Group IV, n=30) 10mm medial-inferior to the ASIS. Intraoperative hemodynamic changes, postoperative pain intensity, time of first analgesic requirement, and correlation between BMI and groups were examined. Results: The average pain score 2 hours after operation was lowest in group I (1.04±1.23 [Cl 95%,) and highest in group IV (2.88±2.47 [Cl 95%, 0-9]), a difference of statistically significance (p=0.0027). In group I only, the pain intensity had a weak, positive correlation with BMI (r=0.49, p=0.006). Conclusion: Group I used the best ILIH block technique.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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2017

Cent Asian J Med Sci

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“…11.12 In the literature, bupivacaine and levobupivacaine were reported to be used in different concentrations and volumes for II/IH nerve block in pediatric patients. [2][3][4]6,[13][14][15][16][17][18] In these studies, while bupivacaine was applied in 0.5% concentration and 2 mg/kg and 0. 2,18 In our study, we included the cases in whom bupivacaine and levobupivacaine were used in 0.5% concentration and 0.2 mL/kg dose.…”

Section: Discussionmentioning

confidence: 99%

Çocuk Hastalarda İlioinguinalL/İliohipogastrik Sinir Bloğunda Bupivakain ve Levobupivakainin Postoperatif Ağrıya Etkilerinin Karşılaştırılması: Retrospektif Çalışma

Darçın

Tuna

Akkoyun³

et al. 2017

Sakarya Medical Journal

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Objective Ilioinguinal/iliohypogastric (II/IH) nerve block added to general anesthesia is frequently used for postoperative analgesia in pediatric patients. We aimed to compare the postoperative analgesic effects of bupivacaine and levobupivacaine for II/IH nerve block for inguinal hernia repair in pediatric patients, which is not investigated previously.Materials and Methods: In this 2-year retrospective study, data were collected from the medical charts of patients that underwent unilateral inguinal hernia repair. Patients were included who received an II/IH nerve block with 0.2 mL/kg 0.5% of either bupivacaine (Group B) or levobupivacaine (Group L). Non-elective cases, age under 2 years and patients with multiple procedures were excluded. Demographic properties of the patients (age, weight, and sex), duration and side of surgery, pain scores, additional analgesic requirement and complications were documented. The chi-square test and the Mann-Whitney U test were used for statistical analysis Results: In both groups, the pain scores were not significantly different at post anesthesia care unit, 1, 2, 6 and 24th hours; nevertheless, the pain scores at 4th hour were significantly lower in Group L.Conclusion: II/IH nerve block added to general anesthesia is effective in inguinal region surgery of pediatric patients in postoperative pain control, and 0.5% levobupivacaine and bupivacaine had similar analgesic effect.

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Pediatric regional anesthesia: A review of the relevance of surface anatomy and landmarks used for peripheral nerve blockades in infants and children

Byun

Pather

2019

Clinical Anatomy

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In regional anesthesia, accurate knowledge of surface anatomy and landmarks are essential for successful nerve blockades with least possible complications. The longestablished anatomical landmarks used for peripheral nerve blockades in adult patients have also gained a place in pediatric anesthesia. Despite the continuing benefits and need for more effective peripheral techniques in pediatrics, there is a paucity of data on pediatric landmarks, and hence the absence of more appropriate techniques for the different age groups of children. Recent advancement in imaging has shown that there is a greater awareness for the different surface projections at various stages of postnatal development, as compared with that of adults. Thus, if adult landmarks are not appropriately adapted for use in children, complication rates may rise due to injuries to anatomical structures. This review evaluated the existing evidence of the pediatric nerve block landmarks in the reported literature, in order to highlight the limitations in our current understanding of pediatric surface anatomy and landmarks. A literature search was done using five databases to obtain 141 references. Only a few of these studies provided detailed reports of the relations of relevant nerves to anatomical landmarks. A few clinical imaging studies have provided new anatomical landmarks in children with reference to their age-related growth and anatomy. Most landmarks need to be standardized in children of various ages, and furthermore, inconsistencies in the current descriptions of the surface landmarks need to be validated and standardized for use in pediatric clinical practice. Clin. Anat. 32:803-823, 2019.

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Success rate of two different methods of ilioinguinal-iliohypogastric nerve block in children inguinal surgery

Abstract: Based on our findings, success rate and outcomes of the two techniques of landmark-based ILIH block are similar in children undergoing surgery in inguinal area.

Cited by 10 publications

References 10 publications

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Untitled

Çocuk Hastalarda İlioinguinalL/İliohipogastrik Sinir Bloğunda Bupivakain ve Levobupivakainin Postoperatif Ağrıya Etkilerinin Karşılaştırılması: Retrospektif Çalışma

Pediatric regional anesthesia: A review of the relevance of surface anatomy and landmarks used for peripheral nerve blockades in infants and children

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