@article{article_1606905, title={Comparison of Analgesic Efficacy of Ultrasound Guided Ilioinguinal/iliohypogastric Nerve Block and Transversus Abdominis Plane Block in Pediatric Unilateral Lower Abdominal Surgery}, journal={Hitit Medical Journal}, volume={7}, pages={221–226}, year={2025}, DOI={10.52827/hititmedj.1606905}, author={Turhan, Özlem and Türk, Hacer Şebnem and Sayın, Pınar and Oba, Sibel}, keywords={Akut postoperatif ağrı, pediatri, rejyonal anestezi, sinir blok}, abstract={Objective: Regional techniques providing effective postoperative analgesia in pediatrics are controversial. We compared analgesic efficacy of ilioinguinal/iliohypogastric nerve and transversus abdominis plane blocks in children underwent abdominal surgery. Material and Method: In this retrospectively designed study, a total of 60 patients aged between 2 and 12 years who underwent abdominal surgery were divided into two groups: Group I (n=30), which received an ilioinguinal/iliohypogastric nerve block, and Group II (n=30), which received a transversus abdominis plane block. Demographics, intraoperative heart rate, fentanyl consumption, duration of anesthesia and surgery, postoperative pain scores and time to first additional analgesic, number of patients requiring additional analgesia, and complications were recorded. Results: The time to first postoperative analgesia requirement was similar between Group I and Group II (258 ± 135 min and 193 ± 94 min, respectively p=0.369). Demographics, intraoperative fentanyl consumption, duration of anesthesia and surgery were similar in both groups. Intraoperative heart rate and postoperative pain scores at 0th, 1st, and 2nd hours were comparable between the groups. Heart rate decreased significantly from baseline at 15 and 30 minutes within each group. Pain scores decreased significantly at 1st and 2nd hours compared to 0th hour within each group. The number of patients requiring additional analgesia in the first 24 hours postoperatively was similar between the groups. No patients experienced any complications. Conclusion: Ilioinguinal/iliohypogastric nerve and transversus abdominis plane blocks provided similar analgesic efficacy in pain management after pediatric lower abdominal surgery. Both techniques could be preferable regional analgesia methods as part of a multimodal approach in this population.}, number={2}, publisher={Hitit Üniversitesi}