Selective Regional Anesthesia Options in Surgical Subspecialties

  • Henry Liu
  • Charles James Fox
  • Michael J. Yarborough
  • Alan David Kaye
Chapter

Abstract

These two nerves lie in close proximity to one another and are frequently blocked together with the same needle insertion. Dr. Harvey Cushing reported in the Annals of Surgery in 1900 that “almost all cases of hernia, with the possible exception of those in young children, could undoubtedly be subjected to the radical operation under local anesthesia” [1]. Today, because of infrequent use, some authors claim that the block is underutilized for herniorrhaphy [2]. Recently, Yilmazlar and colleagues compared the ilioinguinal/iliohypogastric nerve blocks to spinal anesthesia for inguinal herniorrhaphy. They found that patients receiving the ilioinguinal/iliohypogastric nerve blocks had shorter time-to-home readiness, quicker oral intake postsurgery, and no need for recovery room care [3].

Keywords

Toxicity Catheter Ischemia Epinephrine Perforation 

References

  1. 1.
  2. 2.
    Wang H. Is ilioinguinal-iliohypogastric nerve block an underused anesthetic technique for inguinal herniorrhaphy? South Med J. 2006;99(1):15.PubMedCrossRefGoogle Scholar
  3. 3.
    Yilmazlar A, Bilgel H, Donmez C, Guney A, Yilmazlar T, Tokat O. Comparison of ilioinguinal-iliohypogastric nerve block versus spinal anesthesia for inguinal herniorrhaphy. South Med J. 2006;99(1):48–51.PubMedCrossRefGoogle Scholar
  4. 4.
    Katz G. Ilioinguinal and iliohypogastric nerves. In: Atlas of regional anesthesia. Connecticut: Appleton-Century-Crofts/Norwalk; 1985. p. 114–15.Google Scholar
  5. 5.
    Ford S, Dosani M, Robinson AJ, Campbell GC, Ansermino JM, Lim J, et al. Defining the reliability of sonoanatomy identification by novices in ultrasound-guided pediatric ilioinguinal and iliohypogastric nerve blockade. Anesth Analg. 2009;109(6):1793–8.PubMedCrossRefGoogle Scholar
  6. 6.
    Beaussier M, Weickmans H, Abdelhalim Z, Lienhart A. Inguinal herniorrhaphy under monitored anesthesia care with ilioinguinal-iliohypogastric block: the impact of adding clonidine to ropivacaine. Anesth Analg. 2005;101(6):1659–62.PubMedCrossRefGoogle Scholar
  7. 7.
    Pöpping DM, Elia N, Marret E, Wenk M, Tramèr MR. Clonidine as an adjuvant to local anesthetics for peripheral nerve and plexus blocks: a meta-analysis of randomized trials. Anesthesiology. 2009;111(2):406–15.PubMedCrossRefGoogle Scholar
  8. 8.
    Disma N, Tuo P, Pellegrino S, Astuto M. Three concentrations of levobupivacaine for ilioinguinal/iliohypogastric nerve block in ambulatory pediatric surgery. J Clin Anesth. 2009;21(6):389–93.PubMedCrossRefGoogle Scholar
  9. 9.
    Gucev G, Yasui GM, Chang TY, Lee J. Bilateral ultrasound-guided continuous ilioinguinal-iliohypogastric block for pain relief after cesarean delivery. Anesth Analg. 2008;106(4):1220–2.PubMedCrossRefGoogle Scholar
  10. 10.
    Zadra N. Bowel hematoma following an iliohypogastric-ilioinguinal nerve block: the needle’s tip makes the difference. Paediatr Anaesth. 2007;17(5):502.PubMedCrossRefGoogle Scholar
  11. 11.
    Peng PWH, Tumber PS. Ultrasound-guided interventional procedures for patients with chronic pelvic pain – a description of techniques and review of literature. Pain Physician. 2008;11:215–24.PubMedGoogle Scholar
  12. 12.
    Long RM, McCartan D, Cullen I, Harmon D, Flood HD. A preliminary study of the sensory distribution of the penile dorsal and ventral nerves: implications for effective penile block for circumcision. BJU Int. 2010;105(11):1576–8.PubMedCrossRefGoogle Scholar
  13. 13.
    Metzelder ML, Kuebler JF, Glueer S, Suempelmann R, Ure BM. World J Urol. 2010;28(1):87–91.PubMedCrossRefGoogle Scholar
  14. 14.
    Sasaoka N, Kawaguchi M, Yoshitani K, Kato H, Suzuki A, Furuya H. Evaluation of genito­femoral nerve block, in addition to ilioinguinal and iliohypogastric nerve block, during inguinal hernia repair in children. Br J Anaesth. 2005;94(2):243–6.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Henry Liu
    • 1
  • Charles James Fox
    • 1
  • Michael J. Yarborough
    • 2
  • Alan David Kaye
    • 2
  1. 1.Department of AnesthesiologyTulane School of MedicineNew OrleansUSA
  2. 2.Department of AnesthesiologyTulane School of MedicineNew OrleansUSA

Personalised recommendations