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A clinical trial comparing ultrasound-guided ilioinguinal/iliohypogastric nerve block to transversus abdominis plane block for analgesia following open inguinal hernia repair

Journal of Pain Research Jan 11, 2019

Faiz SHR, et al. - Researchers compared the efficacy of ilioinguinal/iliohypogastric (IINB) nerve block to transversus abdominis plane (TAP) block in controlling incisional pain after open inguinal hernia repair. They performed this prospective randomized clinical trial of 90 patients receiving either IINB (N=45) or TAP block (N=45) using 0.2% bupivacaine 15 mL under ultrasound (US) guidance based on a random assignment in the postanesthesia care unit after having an open repair of inguinal hernia. Better pain control after open repair of inguinal hernia was achieved with local blockade of ilioinguinal and iliohypogastric nerves compared to TAP block when both blocks were administered under US guidance. Patients receiving IINB displayed greater satisfaction scores, reflecting its superior analgesic outcomes.
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