Evaluation of Analgesic Effect of Bupivacaine Injection into Both Angles of the Rectus Sheath Incision after an Elective Caesarean Section
Al Gazzar, A., Abdelazim, A., Soliman, A., Elsayed, G. (2024). Evaluation of Analgesic Effect of Bupivacaine Injection into Both Angles of the Rectus Sheath Incision after an Elective Caesarean Section. EKB Journal Management System, 41(4), 101-112. doi: 10.21608/bmfj.2023.249790.1956
Ali Mahmoud Al Gazzar; ahmed samy Abdelazim; Ahmed Saber Soliman; Gehad Samir Elsayed. "Evaluation of Analgesic Effect of Bupivacaine Injection into Both Angles of the Rectus Sheath Incision after an Elective Caesarean Section". EKB Journal Management System, 41, 4, 2024, 101-112. doi: 10.21608/bmfj.2023.249790.1956
Al Gazzar, A., Abdelazim, A., Soliman, A., Elsayed, G. (2024). 'Evaluation of Analgesic Effect of Bupivacaine Injection into Both Angles of the Rectus Sheath Incision after an Elective Caesarean Section', EKB Journal Management System, 41(4), pp. 101-112. doi: 10.21608/bmfj.2023.249790.1956
Al Gazzar, A., Abdelazim, A., Soliman, A., Elsayed, G. Evaluation of Analgesic Effect of Bupivacaine Injection into Both Angles of the Rectus Sheath Incision after an Elective Caesarean Section. EKB Journal Management System, 2024; 41(4): 101-112. doi: 10.21608/bmfj.2023.249790.1956

Evaluation of Analgesic Effect of Bupivacaine Injection into Both Angles of the Rectus Sheath Incision after an Elective Caesarean Section

Benha Medical Journal
Article 10, Volume 41, Issue 4, July and August 2024, Page 101-112  XML PDF (732.06 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2023.249790.1956
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Authors
Ali Mahmoud Al Gazzar1; ahmed samy Abdelazim1; Ahmed Saber Soliman2; Gehad Samir Elsayed email 3
1Professor of Obstetrics and Gynecology, Faculty of Medicine, Benha University
2Lecturer of Obstetrics and Gynecology, Faculty of Medicine, Benha University
3(M.B.B.Ch, Faculty of Medicine, Benha University)
Abstract
Background: Pain management after a caesarean section (CS) remains a significant clinical challenge, and alternative strategies for analgesia are continually being explored This study aimed to determine the efficacy of injecting the local anesthetic, Bupivacaine, bilaterally into the rectus sheath incision angles to block the ilioinguinal and iliohypogastric nerves, with the aim of reducing postoperative pain in patients undergoing CS under general anesthesia. Methods: A total of 150 female patients scheduled for elective Caesarean section were enrolled in this study. Patients were randomly assigned to one of two groups: Group A received Bupivacaine injections, while Group B received saline injections into the rectus sheath incision angles. Pain assessments, medication usage, and patient satisfaction were evaluated as primary outcome measures. Results: The study revealed that patients in Group A, receiving Bupivacaine injections, experienced significantly lower pain scores at various time intervals, shorter time to the first analgesic request, and a reduced need for meperidine compared to Group B. Additionally, patients in Group A reported higher satisfaction with pain management. Conclusion: Injection of Bupivacaine into both angles of the rectus sheath incision during Caesarean section effectively reduces postoperative pain and improves patient satisfaction.
Keywords
Bupivacaine; Caesarean Section; Ilioinguinal Nerve; Iliohypogastric Nerve; Postoperative Pain Management
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