Comparison of The Quadratus Lumborum Block and Ilioinguinal Iliohypogastric Nerve Block
Post Operative Pain, Inguinal Hernia, Quadratus Lumborum Nerve Block
About this trial
This is an interventional treatment trial for Post Operative Pain focused on measuring quadratus lumborum nerve block, postoperative pain, inguinal herniae, ilio-inguinal iliohypogastric nerve block
Eligibility Criteria
Inclusion Criteria: who were scheduled for unilateral inguinal hernia operation with American Society of Anesthesiologists (ASA) physical score I-II aged 2-7 years Exclusion Criteria: Patients with coagulopathy skin infection at the block application site bupivacaine allergy neuropsychiatric disease
Sites / Locations
- Sisli Hamidiye Etfal Training and Research Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
quadratus lumborum nerve block
Ilioinguinal Iliohypogastric Nerve Block
In Group Q; The patient was placed in the lateral position with the side to be blocked on top. After providing skin antisepsis with 5% povidone iodine, sterile dressing was applied. After the USG probe was covered with a sterile sheath, it was placed transversely between the iliac crest and the costa edge. After imaging the external-internal oblique and transversus abdominis muscles, the probe was advanced posteriorly. Quadratus lumborum, Psoas Major and Erector Spina muscles were visualized. The needle was advanced towards the middle thoracolumbar fascia between the Quadratus lumborum muscle and the Erector Spina muscle with the in-plane technique, and the location was confirmed by injecting 1 ml of 0.9 saline. 0.25% Bupivacaine was injected at a dose of 0.5 mL/kg after negative aspiration.
In Group I; The patient was placed in the supine position. After providing skin antisepsis with 5% povidone iodine, sterile dressing was applied. After the USG probe was covered with a sterile sheath, it was placed on the anterior abdominal wall parallel to the imaginary line between the umbilicus and the anterior superior iliac wing. After imaging the external-internal oblique and transversus abdominis muscles, the ilioinguinal-iliohypogastric nerve was visualized as two small hypoechoic areas between the internal oblique muscle and the transversus abdominis muscle. The location was confirmed by injecting 1 ml of 0.9 saline by advancing the needle with the in-plane technique close to the nerve structures. 0.25% Bupivacaine was injected at a dose of 0.5 mL/kg after negative aspiration.