A novel injection technique for ilioinguinal nerve block for post-operative pain relief in caesarean delivery - a randomized, double-blind, placebo-controlled trial.

IF 0.5 Q4 OBSTETRICS & GYNECOLOGY
Wael Khafagy, Walaa Elbassioune, Mohamed Ibrahim, Mahmoud Rady, Ahmed Abdeltawab, Muhammad Altoraky, Mahmoud Hegazy, Waled Ayad, Moatazza Alghazaly, Ahmed Elshorbagy, Ahmed Shafik Almorsy, Samir Galal, Hosam Alazazy, Ahmed Zaki, Elmetwally Farouk, Ehab Elhelw, Hamada Abuelmatti, Mohamed Mahmoud, Mohamed Hussein, Elrefaai Marai, Eslam Sultan, Osama Deif
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引用次数: 0

Abstract

Aim: To determine whether the novel method is successful in blocking both ilioinguinal nerves to lessen postoperative pain following caesarean surgery.

Materials and methods: Between January 2022 and January 2023, 300 patients were enrolled in this study at the Obstetrics and Gynaecology Departments of the Faculty of Medicine at Al-Azhar University. About 150 of these patients received bupivacaine infiltration on both sides close to the anterior superior iliac spine, and 150 received a normal saline injection at the same locations.

Results: The study compared the two groups and discovered significant differences in the timing of analgesic requests, interval before the patient's first ambulation, length of hospital stay, postoperative pain score, and incidence of postoperative nausea and vomiting, with group A performing better.

Conclusion: After a caesarean section, the local anaesthetic "bupivacaine" injection used to block the ilioinguinal nerves bilaterally is an efficient way to lessen postoperative discomfort and analgesic use.

一种用于剖宫产术后疼痛缓解的髂腹股沟神经阻滞的新型注射技术——一项随机、双盲、安慰剂对照试验。
目的:探讨阻断髂腹股沟神经以减轻剖宫产术后疼痛的新方法是否成功。材料和方法:在2022年1月至2023年1月期间,在爱资哈尔大学医学院妇产科招募了300名患者参加这项研究。其中约150例患者在靠近髂前上棘的两侧行布比卡因浸润,150例患者在相同位置行生理盐水注射。结果:比较两组患者在镇痛要求时间、患者首次下床时间间隔、住院时间、术后疼痛评分、术后恶心呕吐发生率等方面存在显著差异,A组表现较好。结论:剖宫产术后局部麻醉布比卡因注射阻断双侧髂腹股沟神经是减轻术后不适和镇痛的有效方法。
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来源期刊
Ceska Gynekologie-Czech Gynaecology
Ceska Gynekologie-Czech Gynaecology OBSTETRICS & GYNECOLOGY-
CiteScore
0.60
自引率
25.00%
发文量
57
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