Efficacy of landmark based blind transverse abdominis plane block for post-operative pain relief in inguinal hernia
Background: Pain after open hernia surgery can be moderate-to-severe and is known to be associated with prolonged hospital stay and delayed return to normal daily activities. Aims and Objectives: We aimed to investigate the effect of a blind landmark-based approach of transversus abdominis plane...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Manipal College of Medical Sciences, Pokhara
2023-02-01
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| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/49396 |
| Summary: | Background: Pain after open hernia surgery can be moderate-to-severe and is known to be associated with prolonged hospital stay and delayed return to normal daily activities.
Aims and Objectives: We aimed to investigate the effect of a blind landmark-based approach of transversus abdominis plane (TAP) block on patients undergoing elective inguinal hernia repair surgery under spinal anesthesia.
Materials and Methods: This was a prospective, randomized, controlled, and clinical trial consisting of 60 patients scheduled for inguinal hernia repair under spinal anesthesia. Patients in Group-1 received TAP block by landmark based blind technique, whereas those in Group-2 did not receive TAP block. Pain assessments were scored for all patients at rest and movement at 2, 4, 6, 12, and 24 h after surgery using visual analog scale.
Results: The pain scores in the post-operative period, during rest and movement, were significantly lower in patients that received TAP block. Significant number of cases reported nausea and vomiting or headache in Group-2 due to increase requirement of analgesics for pain relief during first the 24 h of post-operative period.
Conclusion: Landmark-based blind TAP block may be an effective way of providing analgesia in patients undergoing elective open inguinal hernia repair under spinal anesthesia. |
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| ISSN: | 2467-9100 2091-0576 |