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Unilateral paravertebral block: an alternative to conventional spinal anaesthesia for inguinal hernia repair

Bhattacharya P, Mandal M, Mukhopadhyay S, Das S, Pal P, Basu S ...see all

Acta Anaesthesiol Scand (2009)

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Background: Inguinal herniorrhaphy can be successfully performed using general, regional or local anaesthesia. Paravertebral block (PVB) has been used for unilateral procedures such as thoracotomy, breast surgery, chest wall trauma, hernia repair or renal surgery. Methods: We compared unilateral lumbar PVB with conventional spinal anaesthesia (SA) in 60 consenting ASA I and II males aged 18-65 years, scheduled for unilateral inguinal hernia repair. Patients were randomly assigned into two groups, P (n=30) or S (n=30) to receive either PVB or SA, respectively. Two patients (7%) in group P had to be converted to general anaesthesia due to block failure. During surgery, patients of both groups received intravenous infusion of propofol titrated to light sedation. Results: The time to first post-operative analgesic requirement (primary outcome measure) as 342 +/- 73 min in group P and 222 +/- 22 min in group S (P

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  • P Bhattacharya

  • M C Mandal

  • S Mukhopadhyay

  • S Das

  • P P Pal

  • S R Basu

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