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...
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| Format: | Article |
| Language: | English |
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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 |
| _version_ | 1797937014972088320 |
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| author | Swetha Purohit Chandrashekarappa Kavi Sudharani Halli |
| author_facet | Swetha Purohit Chandrashekarappa Kavi Sudharani Halli |
| author_sort | Swetha Purohit |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T18:38:08Z |
| format | Article |
| id | doaj.art-0bbd11f9b8a3403687967e6cdcb67986 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-10T18:38:08Z |
| publishDate | 2023-02-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-0bbd11f9b8a3403687967e6cdcb679862023-02-01T23:59:20ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-02-011427478https://doi.org/10.3126/ajms.v14i2.49396Efficacy of landmark based blind transverse abdominis plane block for post-operative pain relief in inguinal herniaSwetha Purohit 0https://orcid.org/0000-0002-0866-654XChandrashekarappa Kavi 1https://orcid.org/0000-0002-1015-3233Sudharani Halli 2https://orcid.org/0000-0003-1864-3859Associate Professor, Department of Anaesthesiology, Subbaiah Insitute of Medical Sciences, Shivamogga, Karnataka, India Professor, Department of Anaesthesiology, Subbaiah Insitute of Medical Sciences, Shivamogga, Karnataka, India Assistant Professor, Department of Anaesthesiology, Subbaiah Insitute of Medical Sciences, Shivamogga, Karnataka, India 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.https://www.nepjol.info/index.php/AJMS/article/view/49396transversus abdominis plane block; inguinal hernia; post-operative analgesia |
| spellingShingle | Swetha Purohit Chandrashekarappa Kavi Sudharani Halli Efficacy of landmark based blind transverse abdominis plane block for post-operative pain relief in inguinal hernia Asian Journal of Medical Sciences transversus abdominis plane block; inguinal hernia; post-operative analgesia |
| title | Efficacy of landmark based blind transverse abdominis plane block for post-operative pain relief in inguinal hernia |
| title_full | Efficacy of landmark based blind transverse abdominis plane block for post-operative pain relief in inguinal hernia |
| title_fullStr | Efficacy of landmark based blind transverse abdominis plane block for post-operative pain relief in inguinal hernia |
| title_full_unstemmed | Efficacy of landmark based blind transverse abdominis plane block for post-operative pain relief in inguinal hernia |
| title_short | Efficacy of landmark based blind transverse abdominis plane block for post-operative pain relief in inguinal hernia |
| title_sort | efficacy of landmark based blind transverse abdominis plane block for post operative pain relief in inguinal hernia |
| topic | transversus abdominis plane block; inguinal hernia; post-operative analgesia |
| url | https://www.nepjol.info/index.php/AJMS/article/view/49396 |
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