Percutaneous ilioinguinal-iliohiopogastric nevre block or step-by-step local infiltration anesthesia for inguinal hernia repair:What Cadaveric dissection says?
Yazarlar (6)
Hakan Kulacoglu
T. C. Sağlık Bakanlığı Ankara Diskapi Yildirim Beyazit Eğitim ve Araştirma Hastanesi, Türkiye
T. C. Sağlık Bakanlığı Ankara Diskapi Yildirim Beyazit Eğitim ve Araştirma Hastanesi, Türkiye
Prof. Dr. Zafer ERGÜL T. C. Sağlık Bakanlığı Ankara Diskapi Yildirim Beyazit Eğitim ve Araştirma Hastanesi, Türkiye
Prof. Dr. Ali Firat Esmer Ankara Üniversitesi, Türkiye
Tulin Sen
Ankara Üniversitesi, Türkiye
Ankara Üniversitesi, Türkiye
Taylan Akkaya
T. C. Sağlık Bakanlığı Ankara Diskapi Yildirim Beyazit Eğitim ve Araştirma Hastanesi, Türkiye
T. C. Sağlık Bakanlığı Ankara Diskapi Yildirim Beyazit Eğitim ve Araştirma Hastanesi, Türkiye
Alaittin Elhan
Ankara Üniversitesi, Türkiye
Ankara Üniversitesi, Türkiye
| Makale Türü |
Özgün Makale
(Diğer hakemli uluslarası dergilerde yayınlanan tam makale)
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| Dergi Adı | Journal of the Korean Surgical Society | ||
| Dergi ISSN | 1226-0053 | ||
| Dergi Tarandığı Indeksler | IM: Index Medicus | ||
| Makale Dili | İngilizce | Basım Tarihi | 12-2011 |
| Cilt / Sayı / Sayfa | 81 / 6 / 408–413 | DOI | 10.4174/jkss.2011.81.6.408 |
| Makale Linki | http://astr.or.kr/Synapse/Data/PDFData/5037JKSS/jkss-81-408.pdf | ||
| UAK Araştırma Alanları |
Genel Cerrahi
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| Özet |
| Purpose The repair of groin hernias with local anesthesia has gained popularity. Two main methods have been described for local anesthesia. This study was aimed at comparing percutaneous truncular ilioinguinal-iliohypogastric block and step-by-step infiltration technique by using cadaver dissections. Methods The study was performed on an adult male cadaver by using blue dye injection. A percutaneous nerve block simulation was done on right side and the dye was given in between the internal oblique and transversus muscles. On the left side, a skin incision was deepened and the dye was injected under the external oblique aponeurosis. Following the injections, stained areas were investigated superficially and within the deeper tissues with dissection. Results There was a complete superficial staining covering the iliohypogastric and ilioinguinal nerves in the inguinal floor at both sides. On the right side, intraabdominal observation showed a wide and intense peritoneal staining, while almost no staining was seen on the left side. Preperitoneal dissection displayed a massive staining including testicular vascular pedicule and vas deferens on the right side. The dye solution also infiltrated the area of the femoral nerve prominently. On the contrary, a very limited staining was seen on the left. Conclusion It may not always be easy to keep the percutaneous block within optimum anatomical limits without causing adverse events. A step-by-step infiltration technique under direct surgical vision seems to be safer than percutaneous inguinal block for patients undergoing inguinal hernia repair. |
| Anahtar Kelimeler |
| Femoral nerve | Infiltration anesthesia | Inguinal hernia | Local anesthesia | Nerve block |
BM Sürdürülebilir Kalkınma Amaçları
| Atıf Sayıları | |
| Scopus | 4 |
| Google Scholar | 22 |