Abstract | BACKGROUND AND AIMS: Effective postoperative analgesia is a key element in reducing postoperative morbidity, accelerating recovery and avoiding chronic postoperative pain. The aim of this study was to evaluate the effectiveness of ultrasound-guided Transversus Abdominis Plane (TAP) block, performed before surgical incision, in providing postoperative analgesia for patients undergoing open ventral hernia repair under general anaesthesia. METHODS: Seventy elective patients scheduled for open ventral hernia repair surgery under general anaesthesia were divided randomly into two equal groups: Group I received bilateral TAP block performed before surgical incision (n = 35); Group II received systemic postoperative analgesia with parenteral opioid ( morphine) alone (n = 35). Postoperatively pain scores at rest and with movement, total morphine consumption and opioid related side effects were recorded. RESULTS:
Postoperative pain scores at rest and mobilization/ cough were significantly higher in patients without TAP block (p < 0.05). Mean intraoperative fentanyl consumption was comparable between the two groups: 0.75 ± 0.31 mg in group I (TAP) and 0.86 ± 0.29 mg in group II (MO), p = 0.1299. Patients undergoing preincisional TAP block had reduced morphine requirements during the first 24 hours after surgery, compared to patients from group II, without TAP block (p = 0.0001). There was no difference in the incidence of opioid related side effects ( nausea, vomiting) in the both groups during the first 24 postoperative hours. CONCLUSION:
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Authors | Ion Chesov, Adrian Belîi |
Journal | Romanian journal of anaesthesia and intensive care
(Rom J Anaesth Intensive Care)
Vol. 24
Issue 2
Pg. 125-132
(Oct 2017)
ISSN: 2392-7518 [Print] Romania |
PMID | 29090265
(Publication Type: Journal Article)
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