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Effectiveness and Efficacy of Segmental Epidural Neural Blockage in Hernia Repair
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Background: As inguinal hernia is usually seen in elderly age group, so as to avoid or reduce the complications which could occur in the conventional dosages this clinical study of segmental epidural anesthesia was undertaken where the extent of block is limited to only few segments involved in the field of surgery. Materials and Methods: Study was conducted on 200 patients of ASA I and II posted for elective inguinal hernia repair. Segmental epidural block was performed with Ing. Bupivacaine 0.5% 5–6 ml. Result: In the present study, the mean onset of analgesia was 10.53 minutes. The quality of analgesia was excellent in 106 cases, good in 68 cases, fair in 20 cases and poor in 6 cases. Conclusion: Segmental epidural block with 5–6 ml of 0.5% Bupivacaine is found to be safe and fulfils the surgical requirement. Could be successfully employed for inguinal hernia repair with limited spread of analgesia involving only few segments.
Perspectives
Background: As inguinal hernia is usually seen in elderly age group, so as to avoid or reduce the complications which could occur in the conventional dosages this clinical study of segmental epidural anesthesia was undertaken where the extent of block is limited to only few segments involved in the field of surgery. Materials and Methods: Study was conducted on 200 patients of ASA I and II posted for elective inguinal hernia repair. Segmental epidural block was performed with Ing. Bupivacaine 0.5% 5–6 ml. Result: In the present study, the mean onset of analgesia was 10.53 minutes. The quality of analgesia was excellent in 106 cases, good in 68 cases, fair in 20 cases and poor in 6 cases. Conclusion: Segmental epidural block with 5–6 ml of 0.5% Bupivacaine is found to be safe and fulfils the surgical requirement. Could be successfully employed for inguinal hernia repair with limited spread of analgesia involving only few segments.
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This page is a summary of: Effectiveness and Efficacy of Segmental Epidural Neural Blockage in Hernia Repair, Indian Journal of Anaesthesia and Analgesia, January 2019, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.6619.34.
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