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Bhattacharya P et al. – It can be concluded that unilateral PVB is more efficacious than conventional SA in terms of prolonging post–operative analgesia and reducing morbidities in patients undergoing elective unilateral inguinal hernia repair.

Exclusive Author Commentary
Mohan Chandra Mandal, 10/16/09

Paravertebral block produces segmental anesthesia, thus avoids the usual adverse events of conventional spinal anesthesia and offers the advantage of early ambulation probably due to minimum motor blockade of lower extremities. Prolonged analgesia, better adverse events profile and early ambulation makes paravertebral block a suitable alternative to conventional spinal anesthesia for inguinal herniorrhaphy.

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