Autor: |
Ali Asudani, Basim Herez, Raheem, Sahar Swadi, Isa, Raad Jasim |
Předmět: |
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Zdroj: |
Indian Journal of Public Health Research & Development; Aug2019, Vol. 10 Issue 8, p2012-2015, 4p |
Abstrakt: |
Background: Pudendal nerve block (PNB) provides anesthesia and analgesia for minor gynecological surgeries. Aim: To determine the effectiveness of PNB in providing postoperative analgesia for patients undergoing anterior and posterior vaginal wall repair (APR) under spinal anesthesia. Materials and Method: When 50 adult patients, aged 25-50 years, ASA physical status Ι and ΙΙ were scheduled for Anterior and posterior vaginal repair and involved in this study. Spinal anesthesia was performed and at the end of surgery, patient were divided randomly into two equal groups. In bupivacaine group (group B), local anesthetics (0.5 ml/kg bupivacaine 2.5%) had been given in three equal divided volumes for an ultrasound guided pudendal nerve block, skin infiltration to the vulva and deep infiltration to the perineum. In control group (group C), the same volume of normal saline had been given. Pain was assessed by using the visual analogue score (VAS). Results: prolonged duration of postoperative analgesia and reduced total analgesic dose in Bupivacaine group than control group were observed. Conclusion: PNB provides a satisfactory postoperative analgesic effects and reduces the need for opioid consumption. [ABSTRACT FROM AUTHOR] |
Databáze: |
Complementary Index |
Externí odkaz: |
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