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[Ilioinguinal nerve block during general anesthesia for inguinal herniorrhaphy in adult anticoagulated patients].

Abstract
Two adult anticoagulated patients after valve replacement were scheduled for inguinal herniorrhaphy. For inguinal herniorrhaphy in adults, spinal anesthesia is a common anesthetic method. In order to avoid spinal hematoma due to spinal anesthesia, however, we employed general anesthesia combined with ilioinguinal nerve block. Following induction of anesthesia, a laryngeal mask airway was inserted. Ilioinguinal nerve block was performed with 0.25% bupivacaine 20ml. Ilioinguinal nerve block was effective for maintaining hemodynamic stability throughout the operation, and decreased postoperative pain. This technique appears to be a simple and safe method for providing effective and long-lasting perioperative analgesia following inguinal herniorrhaphy in adult patients.
AuthorsHironobu Hayashi, Takashi Shimoda, Katsuyoshi Kishi, Kazuhiko Kitagawa, Ayako Yamaguchi, Atsuhiro Suzuki, Hitoshi Furuya
JournalMasui. The Japanese journal of anesthesiology (Masui) Vol. 55 Issue 1 Pg. 82-4 (Jan 2006) ISSN: 0021-4892 [Print] Japan
PMID16440715 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anticoagulants
  • Bupivacaine
Topics
  • Aged
  • Anesthesia, General
  • Anesthesia, Spinal
  • Anticoagulants (adverse effects)
  • Bupivacaine
  • Contraindications
  • Hernia, Inguinal (surgery)
  • Humans
  • Ilium (innervation)
  • Inguinal Canal (innervation)
  • Laryngeal Masks
  • Male
  • Middle Aged
  • Nerve Block (methods)
  • Pain, Postoperative (prevention & control)

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