11549

Comparison of Ultrasound Guided Transversus Abdominis Plane Block versus Local Wound Infiltration for Post Operative Analgesia in Patients Undergoing Inguinal Hernia or Infra Umb

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Last updated: 03 Jan 2025

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Abstract

Background: since the concept of day case surgeries are getting more popular, surgeons and anesthesiologists are trying their best to provide adequate post operative analgesia. The proper management of post operative pain ensures early ambulation of patients and obviates many postoperative complications. Aim of the Work: to compare the efficacy of transversus abdominis plane (TAP) block versus wound infiltration with local anesthetic agent as regarding postoperative analgesia, its effect on  hemodynamic changes (HR, BP) during rest, opioid (pethidine) consumption. The patients included in this study were either of inguinal hernia or infra umbilical incisional hernia. Patients and Methods: after obtaining approval from the medical ethical committee in Ain Shams University, this prospective randomized clinical trial study was conducted in Ain Shams University Hospital. It included fifty adult undergoing inguinal hernia or infra umbilical incisional hernia repair. Results: patients were assigned randomly into two equal groups: Group A: (n = 25) TAP Block: patients received general anesthesia followed by Tap block at the end of the operation.  Group B: (n=25) Local Wound Infiltration: patients received general anesthesia followed by local wound infiltration at the end of the operation. Conclusion: bilateral TAP block was effective in reducing postoperative pain scores at rest and movement for 8-12 hours and lower total 24-h postoperative opioid and analgesic consumption after inguinal hernia or infra umbilical incisional hernia repair under general anesthesia, compared to local wound infiltration. This technique can be a promising mode of postoperative analgesia where epidural catheter insertion is contraindicated.

DOI

10.21608/ejhm.2018.11549

Keywords

Arterial blood pressure, bronchial asthma, central nervous system

Authors

First Name

Zakria Abdel-Aziz Moustafa

Last Name

Sanad

MiddleName

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Affiliation

Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Ain Shams University

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Orcid

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First Name

Adel Mohamed Meselhi

Last Name

El-Ansary

MiddleName

-

Affiliation

Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Mohamed Mourad Mohsen Mohamed

Last Name

Ali

MiddleName

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Affiliation

Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Mohamed Sabry Abdel-Badei

Last Name

Ismael

MiddleName

-

Affiliation

Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Ain Shams University

Email

drm7md.sabry@gmail.com

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-

Orcid

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Volume

72

Article Issue

11

Related Issue

2148

Issue Date

2018-07-01

Receive Date

2018-08-26

Publish Date

2018-07-01

Page Start

5,679

Page End

5,687

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_11549.html

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https://ejhm.journals.ekb.eg/service?article_code=11549

Order

27

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparison of Ultrasound Guided Transversus Abdominis Plane Block versus Local Wound Infiltration for Post Operative Analgesia in Patients Undergoing Inguinal Hernia or Infra Umb

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Article

Created At

22 Jan 2023