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Abstract

Aim : Is to evaluate the effectiveness  and practicability of  Perineal Nerve Block (PNB )   in Anterior-Posterior Repair (  AP ) repair of the vagina for post operative pain This study was a comparative study  included 200 patients , divided into two groups . One received perineal nerve block  ( PNB ) , and the other group did not receive. Pain score was used in both groups. Pain was severe in the group that did not receive the nerve block , while the group received PNB did not show significant pain. Methods   Efficacy of PNB  was prospectively evaluated on 200 consecutive patients over 24 months. 100 patients received LA ( Twenty ml of local anesthetic ( 10 ml 0.25% bupivacaine and  10 ml 1% lignocaine was infiltrated into both sides of the vaginal verge under General Anaesthesia ( GA )  to block the perineal nerve , and 100 patients did not receive PNB. Rescue analgesia in the form of tramadol and Intravenous ( I V ) paracetamol was available.   Duration of analgesia ; post operative pain based on (VAS 0-10); and complications were analyzed.   Results: 200 AP repair surgeries were performed. Injection was done just after commencing GA , and 5 minutes onset time allowed before surgery started. Operative time ranged from 25-30 minutes, and tramadol and paracetamol were administered  as rescue analgesia. Post op pain based on  VAS  was assessed during the next 48 hours.  Injection site hematoma (3%) was the complications observed. Conclusions:  PNB is effective , simple and reliable analgesia in AP repair of the vagina surgery

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Article

First Page

80

Last Page

82

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Copyright (c) 2018 AL-QADISIYAH MEDICAL JOURNAL

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