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Using the spermatic cord block has been of great advantage, as it has been cost saving, efficient technique whether used inon its own or combination with a sedative or . Furthermore, it provides minimal cardiac risks, early case ambulation, satisfactory postoperative pain control, as well as a reduced hospital stay and cost. one of the major drawbacks of spermatic cord block is being a single injection technique, leading to a short postoperative analgesia duration. So, to overcome this flaw some adjuvants were proven to prolong the analgesia duration as neostigmine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | Active Comparator |
| |
| neostigmine group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Control Test | Drug | spermatic cord block by 19 ml Levobupivacaine 0.5% plus 1 ml 0.9 normal saline in each side |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time from end of surgery to the first postoperative analgesic request | (duration of the block). | UP TO 24 HOURE |
| Measure | Description | Time Frame |
|---|---|---|
| visual analog scale | visual analog scale ; 0 is bad / 10: is good | UP TO 24 HOURE |
| spermatic cord block time | The mean time needed to perform spermatic cord block |
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Inclusion Criteria:
Exclusion Criteria:
operation in male only
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| Name | Affiliation | Role |
|---|---|---|
| Amr wahdan | lecture | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine, Cairo University. | Cairo | 11451 | Egypt |
sill working
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| ID | Term |
|---|---|
| D009388 | Neostigmine |
| ID | Term |
|---|---|
| D050338 | Phenylammonium Compounds |
| D000644 | Quaternary Ammonium Compounds |
| D000588 | Amines |
| D009930 | Organic Chemicals |
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| Neostigmine | Drug | spermatic cord block by 19 ml Levobupivacaine 0.5% plus 1 ml neostigmine 500 μg in each side . |
|
| UP TO 1 HOURE |
| Incidence of complications | complications | up to 24 hours |
| Postoperative analgesic use | amount of Acetaminophen used postoperative | up to 24 hours |
| D009861 |
| Onium Compounds |