Postoperative analgesic effect of adding neostigmine to levobupivacaine in ultrasound-guided spermatic cord block for testicular sperm extraction surgery

• DOI: 10.4103/joacp.joacp_14_24
• Publication Date: 2024-06-28T12:01:36Z
• Authors: Amr Samir Wahdan; Ahmed Abdelhady M...; Mohamed Abdel Fat...; Hasan Abdullah Al...; Mennatallah Magdi...
• Keywords: Levobupivacaine; Spermatic cord; Testicular sperm extraction

Providing postoperative pain management in patients who underwent scrotal surgeries is achieved using several methods, one of which the ultrasound-guided spermatic cord block (US-SCB). To enhance anesthesia quality and extend analgesia postoperatively, agents have been added conjunction with local agents. This study targeted assessing results combining neostigmine levobupivacaine US-SCB for providing perioperative undergoing testicular sperm extraction (TESE) surgery. double-blind, randomized controlled was performed 112 subjects TESE operation general anesthesia. They were randomly equally divided into two groups. All participants received bilateral after induction by 19 mL 0.5% combined 1 500 μg (group N) or normal saline C). The first analgesic dose request time amount consumed 24 h main points comparison both mean duration noticeably increased N group compared to C group, a value 480 ± 41.34 min versus 404 34.14 min, independently (P < 0.001). Moreover, total consumption remarkably decreased when without statistically remarkable divergence concerning complications between Adding anesthetic solution proved detain postoperatively reduced consumption, significant side effects.