| Yazarlar |
Prof. Dr. Zafer ERGÜL
Kastamonu Üniversitesi, Türkiye |
Hakan Kulaçoğlu
|
|
Ali Fırat Esmer
Ankara Üniversitesi, Türkiye |
|
Tülin Şen Esmer
Ankara Üniversitesi, Türkiye |
|
Ömer Taylan Akkaya
Sağlık Bilimleri Üniversitesi, Türkiye |
|
Alaattin Elhan
|
| 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 . Copyright © 2011, the Korean Surgical Society. |
| Anahtar Kelimeler |
| Femoral nerve | Infiltration anesthesia | Inguinal hernia | Local anesthesia | Nerve block |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | Diğer hakemli uluslarası dergilerde yayımlanan tam makale |
| Dergi Adı | J Korean Surg Soc. |
| Dergi ISSN | 2233-7903 |
| Dergi Tarandığı Indeksler | IM: Index Medicus |
| Makale Dili | İngilizce |
| Basım Tarihi | 12-2011 |
| Cilt No | 81 |
| Sayı | 6 |
| Sayfalar | 408 / 413 |
