Saudi Journal of Gastroenterology
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Year : 2004  |  Volume : 10  |  Issue : 2  |  Page : 67-77

Bilateral paravertebral block in advanced schistosomal liver disease: A prospective study


1 Department of Anesthesia, King Fahad Hospital of the University, Al Khobar, Saudi Arabia
2 Department of Surgery, King Fahad Hospital of the University, Al Khobar, Saudi Arabia
3 Department of Medicine, King Fahad Hospital of the University, Al Khobar, Saudi Arabia

Correspondence Address:
Haitham Ahmed Abou Zeid
Department of Anesthesia, King Fahad Hospital of the University, Al Khobar
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


PMID: 19861829

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Background: Surgery in patients with schistosomal liver disease is usually associated with high risks of morbidity and mortality. Bilateral paravertebral block (BPVB) has been advocated as a useful technique for ventral abdominal hernias' repairs. Aim of the study: To compare the efficacy of BPVB with general anesthesia (GA) for anterior abdominal wall hernias in advanced schistosomal liver disease patients. Patients and Methods: Sixty patients were randomly allocated into two groups to receive either GA or BPVB. Variables were hospital stay, hemodynamic stability, postoperative nausea and vomiting (PONY), postoperative pain measured on a visual analogue scale (VAS) with assessment of the hepatic cell integrity using glutathione S transferase alpha (GSTA) and other liver enzymes. Results: The main significant finding was an apparently significant shorter length of hospital stay following BPVB as compared with GA in patients (P < 0.005). Conclusions: BPVB was superior to GA following abdominal ventral hernia repair in schistosomal liver fibrosis patients


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