Local Anaesthetic Injection In To Both Angles of Rectus Sheath Incision for Post-Operative Pain Relief in Cesarean Delivery Have Any Benefit

Abstract

Background: The use of CS for delivery is becoming more prevalent, and it is now one of the most common major operative procedures done worldwide. Prolonged pain reduces physical exercise and increases the risk of deep vein thrombosis and subsequent pulmonary embolism. Objectives: The purpose of this research was to see if a local anaesthetic "Bupivacaine" injection in both angles of the rectus sheath incision could decrease postoperative pain and opioid consumption after a caesarean section. Patients and methods: This study was conducted at obstetrics and gynecology department of Damanhur Medical National Institute from March 2023 to September 2023 and included 90 patients. 30 patients received saline infiltration in both angles of the rectus sheath incision, 30 patients received Bupivacaine infiltration in both angles of the rectus sheath incision, and 30 patients received both saline and Bupivacaine injections. Results: The research compared the three groups and discovered a significant difference in time for the first analgesic request, time interval before first ambulation, length of hospital stay, postoperative pain score, and postoperative nausea and vomiting, with group B having the best result. Conclusion: In patients getting general anesthesia, a local anesthetic "Bupivacaine" injection in both angles of the rectus sheath incision to block the ilioinguinal and iliohypogastric nerves bilaterally is an effective technique to reduce postoperative pain and analgesic consumption after caesarean section.