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ORIGINAL ARTICLE
Year : 2019  |  Volume : 3  |  Issue : 3  |  Page : 715-721

Ultrasound-guided transversus abdominis plane block versus local anesthetic wound infiltration for postoperative analgesia after lower abdominal surgery


Department of Anaesthiology, Intensive Care and Pain Management, Faculty of Medicine for Girls, Al-Azhar University University, Cairo, Egypt

Correspondence Address:
MD Manal F Abd-Almoniem
Department of Anaesthiology, Intensive Care and Pain Management, Faculty of Medicine for Girls, Al-Azhar University University, Cairo
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjamf.sjamf_88_19

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Background Transversus abdominis plane (TAP) block is an effective technique to reduce postoperative pain and narcotic consumption. However, local anesthetic infiltration is commonly used as a traditional method. Objective The aim was to compare the pain relief and frequency of analgesic requirement after lower abdominal surgeries using ultrasound-guided TAP block with that of wound infiltration with local anesthetic agent. Patients and methods This was a randomized, prospective, comparative, and double-blinded trial. A total of 60 patients with American Society of Anesthesiologists status I/II scheduled for elective lower abdominal surgeries were included. They were classified after informed consent. The patients in group T received TAP block with 20 ml of 0.25% bupivacaine at the end of surgery using ultrasound device with a linear transducer (5–10 MHz), whereas those in group I had wound infiltration at the end of surgery with 20 ml of 0.25% bupivacaine. In postanesthesia care unit, visual analog scale was used to assess the pain postoperatively. Conclusion Comparable short-term postoperative pain relief was provided by both ultrasound-guided TAP block and local wound infiltration, but TAP block provided better and long-lasting effects.


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