Iliohypogastric and Ilioinguinal Nerve Block for Acute and Chronic Pain Relief After Cesarean Section.
Iliohypogastric and Ilioinguinal Nerve Block for Acute and Chronic Pain in Cesarean Section
About this trial
This is an interventional treatment trial for Iliohypogastric and Ilioinguinal Nerve Block for Acute and Chronic Pain in Cesarean Section
Eligibility Criteria
Inclusion Criteria:
- Pregnant female.less than 40 years .
- ASA l,ll full term scheduled for elective cesarean section
Exclusion Criteria:
- patient refusal
- Emergency section
- More than I prior section
- Current pain disorder
- Allergy to local anesthetic
- Coagulopathy
- Major cardiac,renal, hepatic disorder
Sites / Locations
- Tanta University Hospitals
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Ilioinguinal iliohypogastric Block
Controlled Group
Each patient will receive spinal anesthesia plus bilateral ultrasound-guided IL/IH nerve block. The abdomen will be scanned through anterior superior iliac spine (ASIS)-umbilicus line. Ilioinguinal nerve can be visualized between the internal oblique and transverse or external oblique muscles and within 1 to 3 cm from the ASIS. The iliohypogastric nerve lies immediately adjacent. After negative aspiration (to exclude intravascular injection), 10 mL of 0.25% bupivacaine will be injected. The same technique will be performed on the other side
Each patient will receive spinal anesthesia alone with no block.