Anaesthesia
Conditions
Interventions
fascia transversalis Group
iliohypogastric and ilioinguinal Group
Sponsors
Faculty of Medicine Ain Shams University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Elective Lower Abdominal surgery. Age: Patients between 18 to 65 years old. Gender: Both sex. ASA Class: I and II.
Exclusion criteria
Exclusion criteria: Refusal of patient. Patients ASA class III and IV. Pregnancy and lactation. Allergy to any of the study medications. Addicts and drug abusers. Severe coagulopathy Fever or sepsis. Local infection at site of the injection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative post-operative analgesic requirement (Pethidine). | — |
Secondary
| Measure | Time frame |
|---|---|
| Intra- operative analgesic consumption (total amount of fentanyl consumption). Intra- operative hemodynamic parameters regarding blood pressure and heart rate in each group prior and following the block, induction of general anesthesia as well as endotracheal intubation then every 10 min. till end of the operation. Postoperative pain estimated by a numeric rating scale (NRS) (0 = no pain, 10 = worst imaginable pain) at rest and on coughing at 0 (full recovery), 2, 4, 6, 12 and 24 hours following the end of surgery. If NRS is = 4, intravenous pethidine 0.5 mg/kg will be given. Time of first analgesic demand. Incidence of complications regarding the procedure or the block will be noted as (intraperitoneal injection, bowel hematoma, transient nerve palsy, local anesthetic toxicity as well as postoperative nausea and vomiting). Time to hospital discharge. | — |
Countries
Egypt
Contacts
Public ContactAhmed Shendy
Lecturer of anesthesia intensive care and pain management
Outcome results
None listed