IJSR - International Journal of Scientific Research

Pratheeba Durairaj; Selvi Annie Geeta; Dipin Mani; J. Rosebell

Volume : VI, Issue : I, January - 2017

A STUDY ON BILATERAL ILIO INGUINAL, ILIO HYPOGASTRIC NERVE BLOCK AND RECTAL DICLOFENAC FOR POSTOPERATIVE PAIN RELIEF OF CAESAREAN SECTION

Pratheeba Durairaj, Selvi Annie Geeta, Dipin Mani, J. Rosebell

Abstract :

Background and goals of study: Pain following surgery is a universal phenomenon. Yet it is often under–estimated and under–treated. Being purely a subjective feeling, pain and its intensity varies among people. Multimodal analgesia using combination of drugs with different modes of action, by different routes, achieves improved pain relief with a reduction in incidence and severity. In this present study, method of poly modal analgesia and pre–emptive analgesia was tried by giving bilateral ilio–inguinal ilio–hypogastric nerve block for postoperative pain relief in caesarean section along with rectal Diclofenac suppositories. The quality of postoperative pain relief and its duration was observed and assessed.

Methods: Seventy five patients who underwent cesarean section by pfannensteil incision were included in the study. Patients were divided into three groups, receiving bilateral ilio–inguinal and ilio–hypogastric nerve block with rectal Diclofenac, bilateral ilio–inguinal and ilio–hypogastric nerve block alone or rectal Diclofenac alone, postoperatively. Postoperative hemodynamics as well as VAS score and rescue analgesic requirements in each group were observed.

Results: The combination of bilateral ilioinguinal nerve block and iliohypogastric nerve block with rectal Diclofenac suppositories gives effective and prolonged duration of analgesia in postoperative caesarean patients compared to either block or rectal suppositories alone. All the three groups were comparable in terms of age, weight and height. Duration of surgery was similar in all the three groups. Complications such as inadequate analgesia and epigastric pain occurred in a few patients.

Conclusion: Bilateral ilioinguinal iliohypogastric nerve block with rectal diclofenac can be used effectively as an alternative method for the postoperative pain relief in post caesarean patients, the combination of these being more effective than either technique alone.