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Corresponding Author

Bahaa Salah Kamel

Document Type

Original Article

Abstract

Background; use of CS for delivery is becoming more common, & it is now one of most common major operative procedures done worldwide. Prolonged pain decreases physical activity & rises the risk of deep vein thrombosis & subsequent pulmonary embolism. Aim and Objectives: To determine the benefit and efficacy of injection of local anesthetic "Bupivacaine" in both angles of the rectus sheath incision aiming to block ilioinguinal and iliohypogastric nerves bilaterally to reduce postoperative pain after caesarean section. Subjects & Methods: research is prospective randomized double-blind controlled research, showed at luxor general hospital, gynecology and obstetrics department, on 100 participants divided into 2 groups: (Group A): included 50 patients will receive local anesthetic (10ml Bupivacaine 0.5%) in each angle of rectus sheath incision, (Group B): included 50 patients will receive local anesthetic (10ml Bupivacaine 0.5%) in the right angle of rectus sheath and normal saline in the left angle of rectus sheath incision. Result: The analgesic request time was statistically significant longer among group A than group B. The ambulation time was important shorter among group A than group B. Conclusion; This study concluded that local anesthetic “bupivacaine” injection in both angles of the rectus sheath incision to block ilioinguinal and iliohypogastric nerves bilaterally is an effective method to reduce postoperative pain & analgesic consumption after caesarean section in studied cases receiving general anesthesia and also decrease the postoperative nausea and vomiting side effects.

Keywords

Cesarean Delivery; Bupoivacaine; Local Anesthetic Injection; Postoperative Pain

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