A comparative Study between Ultrasound Guided Ilioinguinal/Iliohypogastric Nerve Block and Transversus Abdominis Plane (TAP) Block in Lower Abdominal Surgery in Pediatrics

Abstract

Worldwide pediatric regional anesthesia continues to evolve. In some countries, regional anesthesia forms part of the anesthetic culture, and it is almost expected that analgesia is provided for children after surgery. The use of regional anesthesia in children remains limited in some institutions because of the perception that the advantages of regional anesthesia over opiate analgesia does not worth the potential risks. This explosive growth, particularly in the use of truncal blocks, can be attributed in part to the refinement of anatomically based ultrasound imaging to facilitate nerve localization. Ultrasound guidance allows visualization of important anatomical structures and therefore can overcome the traditional obstacles of in advert important structures injury in infant’s delicate soft tissues. Ilioinguinal/iliohypogastric nerve blockade is one of the most common peripheral nerve block techniques in pediatric anesthesia and has been shown to be equally effective compared with caudal blockade for inguinal surgeries. The transversus abdominis plane (TAP) block is a peripheral