%0 Journal Article
%T Bilateral paravertebral block in advanced schistosomal liver disease: A prospective study
%A Abou Zeid Haitham
%A Al-Ghamdi Abdul Mohsen
%A Abdel-Hadi Maha
%A Zakaria Hazem
%J Saudi Journal of Gastroenterology
%D 2004
%I Medknow Publications
%X 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 herniasˇä 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
%K Schistosomiasis
%K hepatic fibrosis
%K Bilateral Paravertebral Block.
%U http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2004;volume=10;issue=2;spage=67;epage=77;aulast=Abou