USG hernia blocks
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ABSTRACT :
Inguinal hernia surgery is one of the commonest day case procedure in any surgical unit, and one of the procedures that has a very high incidence of persistent post-surgical pain. Blocks of the ilioinguinal and iliohypogastricnerves may reduce the incidence of this chronic pain. Blocking the genital branch of genitofemoral nerve completes the nerve block for inguinal hernia surgeries. All these three nerves can be easily blocked under ultrasound guidance and this improves the effectiveness of the block. Failures in achieving complete anesthesia and analgesia is not always due to technical reasons, anatomical variations may be the cause in some of the cases. This article describes the anatomy, sonoanatomy, the variations and the nerve blocks under ultrasound guidance.

INTRODUCTION :
Inguinal hernia repair is one of the commonest day-case surgical procedures. Significant part of the pain from hernia surgery arises from the abdominal wall incision, the somatic pain. Despite the effective perioperative pain management strategies, the frequency of moderate to severe pain from this lower abdominal surgeryis seen in approximately 30–75% of the patients.1-3......

http://www.apicareonline.com/ultrasound-guided-hernia-blocks/
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