Key result
Paravertebral block significantly prolonged the duration of postoperative analgesia compared to unilateral spinal anaesthesia (8.55 vs 3.01 hours, p<0.001) in patients undergoing open inguinal hernia repair.
Why the study?
Does paravertebral neuraxial blockade improve postoperative recovery and analgesia compared to unilateral spinal anaesthesia in patients undergoing inguinal herniorrhaphy?
Population
120 patients aged 18-60 years scheduled for elective unilateral herniorraphy
Comparison
Unilateral spinal anaesthesia vs paravertebral neuraxial blockade
Design
Prospective, randomised study
Authors
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Spinal anaesthesia may speed recovery after herniorraphy; leaves open superiority over paravertebral blockade pending larger trials.
RCT (n=120)
Open-label
Computer generated randomization table
No
Does paravertebral neuraxial blockade improve postoperative recovery and analgesia compared to unilateral spinal anaesthesia in patients undergoing inguinal herniorrhaphy?
Absolute Event Rate: 8.55% vs 3.01%
p-value: p=<0.001
Paravertebral block is a superior and safe alternative to unilateral spinal anesthesia for open unilateral inguinal hernia repair, offering better postoperative analgesia and earlier ambulation.
Mansoor et al. (2022) conducted an RCT in Inguinal hernia (n=120). Paravertebral neuraxial block vs. Unilateral spinal anaesthesia with 0.75% ropivacaine 5 ml was evaluated on Time to first post-operative rescue analgesic administration (hours) (p=<0.001). Paravertebral block significantly prolonged the duration of postoperative analgesia compared to unilateral spinal anaesthesia (8.55 vs 3.01 hours, p<0.001) in patients undergoing open inguinal hernia repair.
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