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Indian Journal of Anesthesia and Analgesia

Volume  6, Issue 6, November-December 2019, Pages 2095-2098
 

Original Article

Effectiveness and Efficacy of Segmental Epidural Neural Blockage in Hernia Repair

Arunkumar Chauhan1, Jaldeep B Patel2

1Assistant Professor, 2Tutor, Department of Anesthesia, Government Medical College, Bhavnagar, Gujarat 364001, India

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6619.34

Abstract

Background: As inguinal hernia is usually seen in elderly age group, so as to avoid or reduce the complications which could occur in the conventional dosages this clinical study of segmental epidural anesthesia was undertaken where the extent of block is limited to only few segments involved in the field of surgery. Materials and Methods: Study was conducted on 200 patients of ASA I and II posted for elective inguinal hernia repair. Segmental epidural block was performed with Ing. Bupivacaine 0.5% 5–6 ml. Result: In the present study, the mean onset of analgesia was 10.53 minutes. The quality of analgesia was excellent in 106 cases, good in 68 cases, fair in 20 cases and poor in 6 cases. Conclusion: Segmental epidural block with 5–6 ml of 0.5% Bupivacaine is found to be safe and fulfils the surgical requirement. Could be successfully employed for inguinal hernia repair with limited spread of analgesia involving only few segments.


Keywords : Bupivacaine; Epidural anesthesia; Inguinal hernia repair.
Corresponding Author : Jaldeep B Patel