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MANAGEMENT OF INGUINAL HERNIA REPAIR SURGERY - EXPERIENCE IN A REFERENCE PAEDIATRIC HOSPITAL
ESRA Academy. Martins A. Sep 8, 2016; 138505
Topic: Paediatric Population
Ana Martins
Ana Martins

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Abstract
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Background and Aims:

The most commonly performed inguinal surgeries in children include inguinal hernia repair. For intra- and postoperative analgesia, a regional anesthetic technique such as  caudal, TAP, inguinal and iliohypogastric nerve block can be combined with a general anaesthesia. Regional techniques reduce the risk of side effects of opioids administration.

                                The main objective is to compare the analgesic efficacy and side effects with the use of caudal analgesia with other noncaudal regional analgesia techniques in children undergoing inguinal hernia surgery.

Methods:

Retrospective study in children submitted to inguinal hernia repair surgery in ambulatory regimen from 2013 to 2015.

                Data collected from clinical process. Cases were stratified according the use of caudal anaesthesia.

                Children needing rescue analgesia and adverse effects in each group were compared.

Statistical analysis was performed using SPSS (Chi-square). 

Results:

From 168 children, 135 (80,4%) were male, aging between 1 month and 14 years. 113 patients were ASA I (67,3%), 53 were ASA II (31,5%) and 2 were ASA III (1,2%).

Caudal block was done in 102 children (60,7%). In the remaining, non caudal blocks (ultrasound guided TAP, inguinal and iliohypogastric nerve blocks) were performed.

3 children needed rescue analgesia, 1 child experienced postoperative nausea and vomits.

There were no statistical differences in both groups regarding demographic data , rescue analgesia needs or adverse effects.

Conclusions:

In our study, caudal blocks didn’t show benefits over non caudal blocks. Like other studies, our results support that there is still no conclusive evidence to prefer one technique over the other in consideration of their efficacy and side effects.

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