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Background and Aims: Inguinal hernia repair is a common surgery in geriatric age group patients, performed under Regional Anaesthesia or General Anaesthesia. Irrespective of surgical technique, pain remains a problem in inguinal hernia surgeries despite preemptive use of opioids, non-steroidal anti-inflammatory drugs or local anaesthetic infiltration. The aim of this study is to observe the analgesic efficacy of Ilioinguinal/ Iliohypogastric & Genitofemoral nerve block for post operative analgesia in patients undergoing inguinal hernia repair. Materials and Methods: Prospective observational study. In the study, 60 patients, scheduled for elective inguinal hernia repair surgery were taken up after getting informed and written consent and were randomised into 2 groups to receive spinal anaesthesia followed by either Ultrasound guided Ilioinguinal/ Iliohypogastric & Genitofemoral nerve block (Group A) or Spinal Anaesthesia alone (Group B) followed by surgery. Postoperative pain was assessed using Visual Analogue Score (VAS), time to first rescue analgesia and total analgesic requirement of the patients amongst the two groups was observed and compared. Results: The mean VAS was found to be significantly lesser in Group A as compared to Group B. Intravenous Fentanyl [1-2mcg/kg] was used as rescue analgesia for patients with VAS>4. Patients belonging to Group B received rescue analgesia earlier and in higher dosage as compared with Group A. Conclusion: Ilioinguinal/ Iliohypogastric & Genitofemoral nerve block was found to be efficacious for postoperative analgesia & can be used as part of multimodal analgesia in patients undergoing inguinal hernia repair. [ABSTRACT FROM AUTHOR]

Background: Hysterectomy is one of the most common major surgeries performed in gynaecology. post operative pain is an inevitable consequence of surgical incision involving full thickness of abdominal wall given in abdominal hysterectomy. Conventional method of pain management includes use of intravenous and oral NSAIDS and opioid. Use of Intrathecal opioid and epidural analgesia has been explored for post operative management. Regional anaesthesia gives a new ray of hope for post operative pain management. The aim of our study to compare the efficacy of bilateral Quadratus Lumborum block (QLB) and erector spinae plane block (ESPB) for post operative analgesia in total abdominal hysterectomy. Material and Method: This Prospective observational study was carried out among 60 patients, which scheduled for elective surgery after getting approval from ethical committee and informed written consent from all patients, the prospective observational study was conducted on adult patients of either sex satisfying inclusion criteria. In our study patients were randomized into 2 groups (30 patient in each group), group QLB (spinal anaesthesia + USG guided bilateral QL3 block) and group ESPB (spinal anaesthesia + USG guided bilateral ESPB block). Post operative pain using NRS, time for first rescue analgesia and total analgesic requirement of the patient amongst all two groups were observed and compared. Result: The mean NRS on rest and movement both were found to be significantly less in QLB group than ESPB group. Injection fentanyl was used as rescue analgesia for patients with NRS > 4. Patients belonging to group ESPB received rescue analgesia faster and significantly higher amount as compared with group QLB. Conclusion: It can be concluded that patient undergoing total abdominal hysterectomy surgery Quadratus lumborum block and erector spinae plane block, both are effective but Quadratus lumborum block is more effective in decreasing postoperative pain and post operative analgesic consumption and lead to greater patient satisfaction, without any serious side effect oral hemodynamic instability. [ABSTRACT FROM AUTHOR]