Preemptive Ilioinguinal-Iliohypogastric Nerve Block versus Morphine for Unilateral Varicocoelectomy

摘要: Background: The surgical approach for varicocelectomy is similar to that of herniorraphy. Iliohypogastric-ilioinguinal (IHII) nerve block reduces postoperative pain after herniorrhaphy, effect preemptive intramuscular injection 0.1mg/kg morphine was studied in ambulatory surgery patients undergoing unilateral varicocoelectomy and the results were compared with those IHII block. Methods: This study performed at Jordan University Hospital, Amman, Jordan, between August 2005 December 2006. After obtaining approval ethical committee, an informed consent taken from 68 adult male ASA (American Society Anesthesiologist) who are І-ІІ scheduled varicocoelectomy. Those included a prospective, randomized, double blind study. 34 have received 10 minutes before incision 20 mls bupivacaine 0.5% (B group), also (M group). All standardized anesthesia, assessed by 0-10 (VAS) Visual Analogue Score 0, 30 minutes, 1, 2, 3, post operative hours. incidences nausea, vomiting, sedation, itching additional analgesic requirement assessed. P < 0.05 considered significant. Results: group reported lower scores P=0.00255, 1 hour P=0.0001, 2 hours P=0.0103.No significant differences present two groups 3 4 postoperatively. incidence vomiting both (p=NS). Conclusion: can reduce more than immediate period, but this reduction not associated opioid related side effects.