Dongare Dhanashree H¹, Dongare Harshad C¹

¹Assistant Professor, Department of Anesthesia, Smt. Kashibai Navale Medical College and General Hospital, Pune, India.

Corresponding Author: Dr. Dhanashree Dongare, Flat Number, 402, A-2, Shashitara Vihar Appartment, Anandnagar, Hingane Khurd, Pune, India 411051

Email: dhanashreedongare@gmail.com

Introduction: The interest in ilio-inguinal iliohypogastric nerve block (IHNB) has increased now a day due to good intraoperative surgical conditions, the minimum change in patient's physiology, fewer complications, early ambulation and excellent postoperative analgesia.

Aim: To find out the optimal anesthetic technique for inguinal herniorrhaphy as day care surgery.

Materials and Methods: This study compared various parameters of spinal anesthesia and IHNB. Patients with unilateral (direct and indirect) reducible hernias were included in the study. They were randomly allocated into two groups, each group comprising of 30 patients. Group 1 [SA], received spinal anesthesia and group 2 [IHNB]. received Ilioinguinal iliohypogastric nerve block. SA group received spinal anesthesia with 3.5 ml of 0.5 % heavy bupivacaine. IHNB group received Ilioinguinal iliohypogastric block with 35 ml local anesthetic solution.

Results:Patients receiving IHNB had better hemodynamic stability and postoperative analgesia as compared to SA group. The post operative ambulation was significantly early in IHNB group and no post operative urinary retention as compared to SA group.

Conclusion: We found that IHNB with sedation is better alternative to spinal anesthesia for inguinal herniorrhaphy specially when carried out in ambulatory set up.

Keywords :Day care surgery, Ilioinguinal iliohypogastric nerve block, Spinal anesthesia