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  • Küçük Resim Yok
    Öğe
    The efficacy of ilioinguinal/iliohypogastric nerve block with bupivacaine in children undergoing inguinal hernia repair [INGUINAL HERNI ONARIMI UYGULANAN COCUKLARDA BUPIVAKAIN ILE YAPILAN ILIOINGUINAL/ILIOHIPOGASTRIK SINIR BLOGUNUN ETKINLIGI]
    (1997) Oztekin S.; Ongun B.; Cokmez B.; Erhan E.; Yegul I.
    Postoperative pain is a main postoperative problem in pediatric ambulatory cases. Postoperative pain causes longer recovery as well as longer hospitalization which is traumatic to children. In this double-blind prospective study we examined the efficacy of ilioinguinal/iliohypogastric nerve block with bupivacaine or postoperative pain control for inguinal hernia repair. With the allowance of Ethics Committee and parents, 40 ASA I-II children whose range of age was 6-8 years had undergone inguinal hernia repair. They were divided equally into control and nerve block performed groups. In the second group ilioinguinal/iliohypogastric nerve block was performed with 0.25 % bupivacaine in dosage of 0.5 mg/kg at the end of the operation. Patients were evaluated one hour after the surgery, according to standard pain scala, Mann Whitney test was used to evaluate the results statistically. There was no difference in age, weight, duration of anaesthesia and operation between groups. Pain score was found lower in children to whom ilioinguinal/iliohypogastric nerve block was performed with respect to control group, but this was statistically insignificant. In some reports, it has been suggested that ilioinguinal/iliohypogastric nerve block provides an effective postoperative analgesia, in inguinal hernia repair. But in controversy some authors have claimed that there is no statistically significant difference between IG/IH nerve block and other techniques such as skin infiltration anaesthesia for postoperative pain relief in inguinal hernia repair. In our study, pain score decreased in nerve block performed group (similarly) as in other studies, but it was not statistically significant (p>0.05). Because of this reason, in routine application, according to our ideas, it is not always sufficient in all the cases.
  • Küçük Resim Yok
    Öğe
    Postoperative pain relief for circumcision in children: Penile block and/or usage of rectal diclofenac sodium [COCUKLARDA SIRKUMSIZYONDA POSTOPERATIF AGRININ GIDERILMESI: PENIL BLOK VE/VEYA REKTAL SODYUM DIKLOFENAK UYGULANIMI]
    (1996) Oztekin S.; Erhan E.; Cokmez B.; Ongun B.; Yegul I.
    In this study, we examined the efficacy penile block performed just after induction and usage of rectal diclofenac sodium after circumcision for perioperative analgesia requirement. 40 children (over 4 years, ASA I and II) scheduled for circumcision were randomly divided into 4 groups. Standard general anesthesia, rectal diclofenac sodium (2.5 mg/kg), penile block (1 cc bupivacaine %0.5 for every 3 years), both penile block and rectal diclofenac sodium were performed in the 1, 2, 3, 4, groups, respectively. Postoperative pain score was evaluated at first hour. Pain score were statistically significant among the groups, but the pain score of group 4 was less then group 3, although the difference was not statistically significant. We concluded that penile block alone and particularly with rectal diclofenac sodium is effective for pain relief in children undergoing circumcision.