Comparison of Ultrasound-guided vs Blind Transversus Abdominis Plane Block in Gynecological Abdominal Surgeries for Postoperative Analgesia in Tertiary Care Center: A Randomized Prospective Single-blind Study

Oak, Sanjay; Hemantkumar, Indrani; Narkhede, Harsha; Poduval, Devika

doi:10.5005/jp-journals-10049-0092

Cited by 2 publications

(3 citation statements)

References 19 publications

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“…14 The effectiveness of the TAP block can mainly be attributed to the less vascular transversus abdominis plane and slow drug clearance. 15 The appropriate block provides prolonged and better analgesia leading to a delayed need for other rescue analgesics also seen in Shrikanta Oak et al 12 and Wafaa Mohamed Alsadek et al 16 study. Pain tolerance and perception is a subjective phenomenon, so much variation in the need for analgesics can be seen.…”

Section: Discussionmentioning

confidence: 90%

“…9 Local anaesthetic in TAP block works by blocking the nerves passing through the neurofascial plane between the internal oblique and transversus abdominis muscle. 9,10 It provides analgesia to the parietal peritoneum, skin, and muscles of the anterior abdominal wall between T7-L1 dermatome 10,11 which was also evident by various studies like Shrikanta Oak et al 12 and Mahim Seyedhejazi et al 13 The use of ultrasound was introduced to improve the success rate and accuracy of the TAP block, which was first introduced by Hebbard. 14 The effectiveness of the TAP block can mainly be attributed to the less vascular transversus abdominis plane and slow drug clearance.…”

Section: Discussionmentioning

confidence: 97%

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Efficacy of ultrasound-guided TAP block for postoperative pain relief in abdominal surgeries: A prospective, randomized controlled trial

Sanghavi,

Shelgaonkar

2023

IJCA

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: Transversus abdominis plane (TAP) block has emerged as a safe, reliable, and efficient technique to provide post-operative analgesia for a range of abdominal procedures and has been shown to minimize the usage of opioids in the perioperative period. This paper compares the overall efficacy and safety of TAP block for postoperative analgesia in abdominal surgeries, by two techniques (blind v/s USG). Eighty patients, ASA grade I-II, 18-60 years age group, posted for abdominal surgery like appendicectomy, appendicular perforation, umbilical, paraumbilical, incisional and ventral hernia repair, hysterectomy and exploratory laparotomy under GA. They were divided into two groups to undergo blind or USG-guided TAP block. At the end of the procedure, before the reversal, both groups received a TAP block with Inj. Bupivacaine 0.25% 20cc on each side in supine position. Patients were followed up for 24 hours, and pain scores were measured using a visual analogue scale. Inj. Diclofenac was given as rescue analgesic and Inj. Tramadol was used for breakthrough pain. Total analgesic requirement for 24 hours and complications if any, were noted.: VAS score was found to be significantly lower in USG- guided group at various time intervals till 12 hours (2.05 ± 0.75 vs 2.98 ± 1.03) in the USG-guided group as compared to the blind group (p<0.05). Time to first rescue analgesic was significantly prolonged in USG- the guided group being 19.68 ± 4.90 hours than the blind technique of 13.48 ± 6.86 hours (p <0.001). The number of rescue analgesics required in the USG-guided group was significantly lower than the blind technique (p<0.05).: USG-guided group had significantly less pain scores postoperatively and a reduced number of analgesic requirements. This resulted in fewer opioid-mediated side effects. TAP block can serve as a part of multimodal analgesia with enhanced recovery after abdominal surgery. The USG-guided approach helped in achieving near perfect block which is evident by pain scores and reduced analgesics required.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 97%

Efficacy of ultrasound-guided TAP block for postoperative pain relief in abdominal surgeries: A prospective, randomized controlled trial

Sanghavi,

Shelgaonkar

2023

IJCA

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“…Hosalli et al, 13 15 performed IIIH block in patients undergoing inguinal hernia repair surgery, and found median time to rescue analgesia 67.5 min in the bupivacaine group and 26 (13-65) min in the saline group (P<0.001), in comparison to our study which was longer duration of analgesia 4.6±1.16 h maybe because we used 30 mL of 0.25% of ropivacaine. Oak et al, 16 compared post-operative analgesia between USG-guided TAP block and conventional landmark-guided block in patients undergoing gynecological abdominal surgeries. Mean duration of analgesia for Group U (18.88±6.18) h and for Group A (8.38±2.58) h. The reasons for the prolonged duration of the analgesic effect after TAP blockade may relate to the fact that under USG guidance, TAP can be clearly visualize and in addition TAP is relatively poorly vascularized, therefore drug clearance may be slowed.…”

Section: Discussionmentioning

confidence: 99%

A randomized clinical study to compare postoperative pain relief in ilioinguinal nerve block versus transversus abdominis plane block following inguinal hernia repair surgery

Jay Kumar Kolewar,

Jitendra Agrawal,

Sourabh Shrivastava

et al. 2023

Asian J Med Sci

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Background: Inguinal hernia surgeries are associated with postoperative pain and discomfort. Transversus abdominis plane (TAP) block and Ilioinguinal/Iliohypogastric (IIIH) nerve blocks are widely used to control postoperative pain. In this study we have compared postoperative pain relief between TAP block and IIIH nerve block in the patients undergoing inguinal hernia surgery under spinal anesthesia. Aims and Objectives: The primary aim of this study was to compare postoperative pain relief of TAP block and IIIH block in patients undergoing inguinal hernia surgery. Secondary objectives were to observe hemodynamic parameters and to observe for postoperative side effects if any. Materials and Methods: Sixty patients of age group 18–65-year-old males, ASA grade I, II, were randomised into two groups TAP group (n=30) and IIIH group (n=30). TAP group received 30 mL of 0.25% ropivacaine TAP block and group IIIH received 20 mL, and wound infiltration with 10 mL of 0.25% ropivacaine. Duration of analgesia was recorded, visual analogue scale (VAS) score compared in first 24h postoperatively. Perioperative haemodynamic parameters were recorded. Results: VAS score was found significant at 1, 2, 3, 4, 5, 8, 10, 16 h (P<0.001). The mean duration of analgesia was found to be 4.64±1.16 h and 6.3±1.84 h for IIIH group and TAP group respectively which was statistically significant (P<0.001). Haemodynamic were stable and no complication was there in both the groups. Conclusion: As a part of multimodal analgesia regimen both TAP block and IIIH block provided good pain relief postoperatively in patients undergoing inguinal hernia. In this study TAP block provided prolonged pain relief than IIIH block after inguinal hernia repair.

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Comparison of Ultrasound-guided vs Blind Transversus Abdominis Plane Block in Gynecological Abdominal Surgeries for Postoperative Analgesia in Tertiary Care Center: A Randomized Prospective Single-blind Study

Cited by 2 publications

References 19 publications

Efficacy of ultrasound-guided TAP block for postoperative pain relief in abdominal surgeries: A prospective, randomized controlled trial

Efficacy of ultrasound-guided TAP block for postoperative pain relief in abdominal surgeries: A prospective, randomized controlled trial

A randomized clinical study to compare postoperative pain relief in ilioinguinal nerve block versus transversus abdominis plane block following inguinal hernia repair surgery

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