background inguinal hernia is one of the most common male diseases all over the world with an incidence rate of 18-24% throughout life. chronic inguinal pain is one of the complications that prolong return to work time. objectives the main aim of this study was to determine the effect of ilioinguinal neurectomy on postoperative chronic pain (pcp) in patients that underwent open inguinal hernia ...

Background & Objective: Dexamethasone has been emerged as an adjuvant to local anesthetics to provide optimal analgesia. We have evaluated the postoperative analgesic efficacy of adding a low dose dexamethasone to bupivacaine in ilioinguinal and iliohypogastric blocks in patients undergoing inguinal herniorraphy under spinal anesthesia. Materials & Methods: 50 patients in the range of 20 - 80 ...

Introduction Among the different anesthetic techniques used to attend hernioplasty current evidence supports the use of local anesthesia by infiltration because it determines a shorter post-operative recovery, fewer complications and lower overall costs 1,. However, despite these advantages the local anesthesia by infiltration is rarely used 2. In order to improve intraoperative analgesia ilioi...

The question of which nerve--the ilioinguinal or the iliohypogastric--most often causes chronic groin pain after hernia repair remains to be answered. We sought to evaluate the effects of prophylactic neurectomies on the incidence of persistent groin pain after Lichtenstein repair. Two hundred forty patients were randomized to 1 of 4 groups: the all-nerve preservation group, the ilioinguinal ne...

OBJECTIVE To study the long-term recurrence rate and other complications after conventional and laparoscopic inguinal hernia repair. SUMMARY BACKGROUND DATA Reliable long-term follow-up of patients with inguinal hernias treated by laparoscopic repair techniques is lacking. METHODS The authors performed a randomized, multicenter trial in which 487 patients with inguinal hernia were treated b...

conclusions open gastrostomy was successfully performed under subcostal tap block with small dose fentanyl supplementation. the subcostal tap block is considered a useful anesthetic choice in surgery for high risk patients. introduction many papers have reported that tap block provides effective postoperative analgesia, but the sole use of tap block for surgical anesthesia has been rarely repor...

In this study the nerves originating from the plexus lumbosacrales of porcupines (Hystrix cristata) were investigated. Four porcupines (two males and two females) were used. The plexus lumbosacrales of animals were appropriately dissected and dissemination of pelvic limb nerves originating from the plexus lumbosacrales was examined. The nerves originated from the plexus lumbosacrales of porcupi...