Local Anaesthetic Injection in to Both Angles of Rectus Sheath Incision for Post-Operative Pain Relief in Cesarean Delivery Have Any Benefit?
Gebreil, M., El-Sadek, A., Sanad, H., Kamel, B. (2644). Local Anaesthetic Injection in to Both Angles of Rectus Sheath Incision for Post-Operative Pain Relief in Cesarean Delivery Have Any Benefit?. EKB Journal Management System, 2023(1), -. doi: 10.58675/2682-339X.1699
Mohammed Mohammed Gebreil; Ahmed Mohammed El-Sadek; Hamed Ahmed Sanad; Bahaa Salah Kamel. "Local Anaesthetic Injection in to Both Angles of Rectus Sheath Incision for Post-Operative Pain Relief in Cesarean Delivery Have Any Benefit?". EKB Journal Management System, 2023, 1, 2644, -. doi: 10.58675/2682-339X.1699
Gebreil, M., El-Sadek, A., Sanad, H., Kamel, B. (2644). 'Local Anaesthetic Injection in to Both Angles of Rectus Sheath Incision for Post-Operative Pain Relief in Cesarean Delivery Have Any Benefit?', EKB Journal Management System, 2023(1), pp. -. doi: 10.58675/2682-339X.1699
Gebreil, M., El-Sadek, A., Sanad, H., Kamel, B. Local Anaesthetic Injection in to Both Angles of Rectus Sheath Incision for Post-Operative Pain Relief in Cesarean Delivery Have Any Benefit?. EKB Journal Management System, 2644; 2023(1): -. doi: 10.58675/2682-339X.1699

Local Anaesthetic Injection in to Both Angles of Rectus Sheath Incision for Post-Operative Pain Relief in Cesarean Delivery Have Any Benefit?

Al-Azhar International Medical Journal
Volume 2023, Issue 1, January 2023  XML
DOI: 10.58675/2682-339X.1699
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Authors
Mohammed Mohammed Gebreil1; Ahmed Mohammed El-Sadek1; Hamed Ahmed Sanad2; Bahaa Salah Kamel1
1Department of Obstetrics and Gynecology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt
2Department of Anesthesia & Intensive Care Medicine, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt
Abstract
Background; use of CS for delivery is becoming more common, & it is now one of most common major operative procedures done worldwide. Prolonged pain decreases physical activity & rises the risk of deep vein thrombosis & subsequent pulmonary embolism. Aim and Objectives: To determine the benefit and efficacy of injection of local anesthetic "Bupivacaine" in both angles of the rectus sheath incision aiming to block ilioinguinal and iliohypogastric nerves bilaterally to reduce postoperative pain after caesarean section. Subjects & Methods: research is prospective randomized double-blind controlled research, showed at luxor general hospital, gynecology and obstetrics department, on 100 participants divided into 2 groups: (Group A): included 50 patients will receive local anesthetic (10ml Bupivacaine 0.5%) in each angle of rectus sheath incision, (Group B): included 50 patients will receive local anesthetic (10ml Bupivacaine 0.5%) in the right angle of rectus sheath and normal saline in the left angle of rectus sheath incision. Result: The analgesic request time was statistically significant longer among group A than group B. The ambulation time was important shorter among group A than group B. Conclusion; This study concluded that local anesthetic “bupivacaine” injection in both angles of the rectus sheath incision to block ilioinguinal and iliohypogastric nerves bilaterally is an effective method to reduce postoperative pain & analgesic consumption after caesarean section in studied cases receiving general anesthesia and also decrease the postoperative nausea and vomiting side effects.
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