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document
Ilioinguinal-iliohypogastric nerve block within travenous dexketoprofen improves postoperative analgesia in abdominal hysterectomies . BACKGROUND AND OBJECTIVE In this study , our aim was to evaluate the effects of intravenous dexketoprofen trometamol with ilioinguinal and iliohypogastric nerve block on analgesic quality and morphine consumption after total abdominal hysterectomy operations . METHODS We conducted this randomized controlled clinical study on 61 patients . The study was conducted in the operation room , post-anesthesia care unit , and inpatient clinic . We randomly grouped the 61 patients into control group ( group C ) , block group ( group B ) and dexketoprofen-block group ( group DB ) . Before the skin incision performed after anesthesia induction , we performed ilioinguinal iliohypogastric block ( group C given saline and group P and DB given levobupivacaine ) . In contrast to group C and B , group DB was given dexketoprofen . We administered morphine analgesia to all patients by patient-controlled analgesia ( PCA ) during the postoperative 24 hours . We recorded Visual Analogue Scale ( VAS ) , satisfaction scores , morphine consumption and side effects during postoperative 24 hours . RESULTS We found the DB group ’ s VAS scores to be lower than the control group and block group ’ s ( p < 0.05 ) values at postoperative 1st , 2nd , 6th and 12th hours . VAS scores of group C were higher than of group B at postoperative fi rst 2 hours . Time to fi rst PCA demand was longer , morphine consumption values were lower and satisfaction scores were higher in group DB than in the other two groups ( p < 0.05 ) . CONCLUSIONS Ilioinguinal-iliohypogastric nerve block with IV dexketoprofen increases patient satisfaction by decreasing opioid consumption , increasing patient satisfaction , which suggests that dexketoprofen trometamol is an effective non-steroidal anti-inflammatory analgesic in postoperative analgesia .
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Intervention_Pharmacological
dexketoprofen
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Intervention_Pharmacological
dexketoprofen trometamol
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Intervention_Control
control group
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Intervention_Pharmacological
block group
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Intervention_Pharmacological
dexketoprofen-block group
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Intervention_Pharmacological
ilioinguinal iliohypogastric block
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Intervention_Control
saline
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Intervention_Pharmacological
DB
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Intervention_Pharmacological
levobupivacaine
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Intervention_Pharmacological
dexketoprofen
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Intervention_Pharmacological
morphine analgesia
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Outcome_Mental
Visual Analogue Scale ( VAS )
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Outcome_Other
satisfaction scores
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Outcome_Physical
morphine consumption
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Outcome_Adverse-effects
side effects
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Outcome_Mental
VAS scores
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Outcome_Physical
morphine consumption
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Participant_Condition
abdominal hysterectomies
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Participant_Condition
abdominal hysterectomy
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Participant_Sample-size
61