Paravertebral Block in Inguinal Hernia Surgeries Two Segments or 4 Segments?

Ozkan D., Akkaya T., CÖMERT A., Balikci N., Ozdemir E., Gumus H., ...Daha Fazla

REGIONAL ANESTHESIA AND PAIN MEDICINE, cilt.34, sa.4, ss.312-315, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 4
  • Basım Tarihi: 2009
  • Doi Numarası: 10.1097/aap.0b013e3181ae1169
  • Dergi Adı: REGIONAL ANESTHESIA AND PAIN MEDICINE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.312-315
  • Ankara Üniversitesi Adresli: Evet

Özet

Background and Objectives: In this study, we compare paravertebral block (PVB) of the T10 and L1 segments and multiple-segment PVB for anesthesia and analgesia in inguinal hernia surgeries. Methods: Anatomic study was performed on 3 cadavers. A 15-mL methylene blue solution was injected at the T10 level and then an additional 5-mL dye injection at L1 level. Fifty patients were included in the study Patients in group 1 (n = 25) underwent PVB of 2 segments at the T 10 and L1 vertebrae levels on the same side as the hernia, whereas patients in group 2 (n = 25) underwent PVB through 4 segments at T 10, T11, T12, and L1 on the same side as the hernia. Perioperative propofol/remifentanil consumption, surgery start time, time to perform the block, duration of sensory block, postoperative visual analog scale scores, and complications were evaluated.