Comparison of analgesic effects of marcaine subcutaneous and subfascial administration on inguinal hernia surgery

AUTHORS

Khosro Setayeshi 1 , * , Mohammad Bagher Heidari 1 , Arash Golpazir Sorkheh 1 , Navid Mohammadi 2 , Farid Najafi 3

1 Dept.of Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

2 Dept. of Social Medicine, School of Midicine, Iran University of Medical Sciences, Tehran, Iran

3 Dept. of Biostatistics and Epidemiology, Schoolof Health, Kermanshah University fo Medical Sciences, Kermanshah, Iran

How to Cite: Setayeshi K, Heidari M B, Golpazir Sorkheh A, Mohammadi N, Najafi F. Comparison of analgesic effects of marcaine subcutaneous and subfascial administration on inguinal hernia surgery, J Kermanshah Univ Med Sci. 2010 ; 14(1):e79533.

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 14 (1); e79533
Published Online: June 19, 2010
Article Type: Research Article
Received: June 13, 2009
Accepted: October 27, 2009

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Abstract

Background: Monitoring of post-operative pain is one of the most important problems for patient and surgeon. Using a method with minimal pain and disability is desirable for both sides. This study aimed to compare analgesic effects of subcutaneous and subfascial administration of Marcaine in inguinal hernia surgery.

Methods: In a double blind randomized controlled trial, 128 cases of unilateral direct and indirect inguinal hernia were enrolled. Random allocation into two equal groups was done and demographic characteristics were collected. 10ml of Marcaine 0.5% was injected subfascially in the first group, while the second received the same amount subcutaneously, after repair of hernia. Severity of pain was assessed and compared after operation.

 Results: Following two and four hours of Marcaine injection, static and dynamic pain severity decreased in subfascial group significantly. These differences were persistent after adjusting for type of hernia. Static pain after four hours was decreasing in higher age groups. There was no relationship between pain and gender.

Conclusion: The study showed that subfascial Marcaine injection was more effective to control pain after surgery in patients. We suggest more investigations with large sample size of direct and indirect inguinal hernias, as well as other abdominal wall surgeries.

Keywords

hernia inguinal Marcaine static pain dynamic pain randomized controlled trial

© 2010, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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