Evaluate the Feasibility of Surgical Transversus Abdominis Plane Block for Postoperative Analgesia After Cesarean Section

Journal of Obstetrics and Gynaecology of India
Aniket Kakade, Girija Wagh

Abstract

Transversus abdominis plane (TAP) block is a fascial plane block providing postoperative analgesia after lower abdominal surgeries including Cesarean section. Conventionally, it is administered under ultrasound guidance or by blind technique. We studied a novel transperitoneal surgical TAP block for providing safe and effective analgesia after Cesarean section through transverse incision. A hundred patients who fulfilled the inclusion criteria were included in the study after obtaining informed written consent. They were randomized in two groups: Group A with surgical TAP block and Group B without TAP block as control. Surgical TAP block was administered by transperitoneal route before the closure of peritoneum with 0.25% bupivacaine (dose adjusted with weight of the patient), and visual analogue score was assessed by a blind assessor. Time for rescue analgesia was noted and analyzed with the 'two independent sample t test.' The duration of postoperative analgesia in hours was significantly longer in the TAP block group compared with the control group (5.14 ± 1.63 vs 2.61 ± 0.89, p < 0.001). There was no reported complication of the surgical technique or any adverse effect of the used drug. Surgical TAP block via the transperit...Continue Reading

References

Feb 27, 2004·Journal of Clinical Anesthesia·Albert Y Leung
Dec 13, 2005·Anesthesia and Analgesia·Jeff GadsdenAlan C Santos
Aug 25, 2009·British Journal of Anaesthesia·D BelavyF Phillips
Feb 24, 2010·Acta Anaesthesiologica Scandinavica·P L PetersenJ B Dahl
Nov 19, 2010·BJOG : an International Journal of Obstetrics and Gynaecology·D J OwenV Gudimetla
Sep 6, 2014·Saudi Journal of Anaesthesia·Abdelazeem El-Dawlatly, Abdullah Al-Dohayan

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Citations

Dec 29, 2020·Anaesthesia·E RoofthooftUNKNOWN PROSPECT Working Group* of the European Society of Regional Anaesthesia and Pain Therapy and supported by the Obstetric Anae
Mar 25, 2021·Current Pain and Headache Reports·Rodney A GabrielRichard D Urman

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