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[Bilateral ilioinguinal nerve block for ambulatory varicocele surgery].

AbstractOBJECTIVE:
The aim of this study was to evaluate the effectiveness of bilateral ilioinguinal-iliohypogastric nerve blocks for pain relief following ambulatory bilateral varicocelectomy.
STUDY DESIGN:
Prospective and randomised.
PATIENTS AND METHODS:
Sixty adult men scheduled for bilateral varicocelectomy were included in this prospective study. All patients had a standardised general anesthesia. After surgical procedures, patients were randomized into two groups: patients in group I received a bilateral ilioinguinal nerve block with 15 ml x 2 of 0.25% bupivacaine; patients in group II received subcutaneously 1 mg kg-1 of tramadol. Visual analogue pain scores at rest and during mobilisation were recorded at 5 min and 1, 3, 5 postoperative hours. The side effects of analgesia and amounts of rescue analgesics were recorded.
RESULTS:
Pain scores at rest and during mobilisation, the incidence of postoperative nausea and vomiting and additional analgesics requirement were significantly reduced in group I. There was no complication.
CONCLUSION:
Ilioinguinal nerve block is effective in controlling pain after bilateral varicocelectomy in ambulatory surgery.
AuthorsA Yazigi, K Jabbour, S M Jebara, F Haddad, M C Antakly
JournalAnnales francaises d'anesthesie et de reanimation (Ann Fr Anesth Reanim) Vol. 21 Issue 9 Pg. 710-2 (Nov 2002) ISSN: 0750-7658 [Print] France
Vernacular TitleBloc ilio-inguinal bilatéral et cure de varicocèle en ambulatoire.
PMID12494804 (Publication Type: Clinical Trial, English Abstract, Journal Article, Randomized Controlled Trial)
Chemical References
  • Analgesics, Opioid
  • Tramadol
Topics
  • Adult
  • Ambulatory Surgical Procedures
  • Analgesics, Opioid (administration & dosage, therapeutic use)
  • Anesthesia, General
  • Humans
  • Ilium
  • Inguinal Canal
  • Male
  • Nerve Block
  • Pain Measurement (drug effects)
  • Pain, Postoperative (drug therapy)
  • Postoperative Nausea and Vomiting (epidemiology)
  • Prospective Studies
  • Tramadol (administration & dosage, therapeutic use)
  • Varicocele (surgery)
  • Vascular Surgical Procedures

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