Percutaneous ilioinguinal-iliohypogastric nerve block or step-by-step local infiltration anesthesia for inguinal hernia repair : what cadaveric dissection says? :what cadaveric dissection says?

Hakan Kulacoglu; Zafer Ergul; Ali Firat Esmer; Tulin Sen; Taylan Akkaya; Alaittin Elhan

추천

검색

질문

자료유형: 학술저널

저자정보: Hakan Kulacoglu (Diskapi Yildirim Beyazit Teaching and Research Hospital) Zafer Ergul (Diskapi Yildirim Beyazit Teaching and Research Hospital) Ali Firat Esmer (Ankara University School of Medicine) Tulin Sen (Ankara University School of Medicine) Taylan Akkaya (Diskapi Yildirim Beyazit Teaching and Research Hospital) Alaittin Elhan (Ankara University School of Medicine)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.81 No.6

발행연도: 2011.12

수록면: 408 - 413 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: The repair of groin hernias with local anesthesia has gained popularity. Two main methods have been described for local anesthesia. This study was aimed at comparing percutaneous truncular ilioinguinal-iliohypogastric block and step-by-step infiltration technique by using cadaver dissections. Methods: The study was performed on an adult male cadaver by using blue dye injection. A percutaneous nerve block simulation was done on right side and the dye was given in between the internal oblique and transversus muscles. On the left side, a skin incision was deepened and the dye was injected under the external oblique aponeurosis. Following the injections, stained areas were investigated superficially and within the deeper tissues with dissection. Results: There was a complete superficial staining covering the iliohypogastric and ilioinguinal nerves in the inguinal floor at both sides. On the right side, intraabdominal observation showed a wide and intense peritoneal staining, while almost no staining was seen on the left side. Preperitoneal dissection displayed a massive staining including testicular vascular pedicule and vas deferens on the right side. The dye solution also infiltrated the area of the femoral nerve prominently. On the contrary, a very limited staining was seen on the left. Conclusion: It may not always be easy to keep the percutaneous block within optimum anatomical limits without causing adverse events. A step-by-step infiltration technique under direct surgical vision seems to be safer than percutaneous inguinal block for patients undergoing inguinal hernia repair.

#Inguinal hernia #Local anesthesia #Infiltration anesthesia #Nerve block #Femoral nerve

참고문헌 (1)

참고문헌 신청

박찬용, 허영회, 김정철, 김신곤. 대망 감돈 서혜부 탈장의 임상적 특징. Annals of Surgical Treatment and Research. 2009