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Comparative Effectiveness of Two Ultrasound‐Guided Regional Block Techniques for Surgical Anesthesia in Open Unilateral Inguinal Hernia Repair |
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| Authors: | Lauren Steffel MD T. Edward Kim MD Steven K. Howard MD Daphne P. Ly MD Alex Kou BS Robert King MS Edward R. Mariano MD MAS |
| Affiliation: | 1. Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California USA.;2. Anesthesiology and Perioperative Care Service, VA Palo Alto Health Care System, Palo Alto, California USA.;3. Division of General Surgery, Stanford University School of Medicine, Stanford, California USA.;4. Surgical Service, VA Palo Alto Health Care System, Palo Alto, California USA. |
| Abstract: | Transversus abdominis plane (TAP) and ilioinguinal/iliohypogastric (II/IH) nerve blocks have been described as analgesic adjuncts for inguinal hernia repair, but the efficacy of these techniques in providing intraoperative anesthesia, either individually or together, is not known. We designed this retrospective cohort study to test the hypothesis that combining TAP and II/IH nerve blocks (“double TAP” technique) results in greater accordance between the preoperative anesthetic plan and actual anesthetic technique provided when compared to TAP alone. Based on this study, double TAP may be preferred for patients undergoing open inguinal hernia repair who wish to avoid general anesthesia. |
| Keywords: | ilioinguinal nerve block inguinal hernia repair monitored anesthesia care outpatient surgery point-of-care ultrasound transversus abdominis plane block ultrasound-guided regional anesthesia |