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Comparative Studies | Medical Science | India | Volume 8 Issue 11, November 2019 | Rating: 6.4 / 10
Comparing the Anlgesic Efficacy of Ultrasound Guided Transversus Abdominis Plane Block Versus Local Wound Infiltration in Open Inguinal Hernia Surgeries using 0.25% Bupivacaine
Dr Mihika Divatia | Dr Amit Kumar Prasad
Abstract: Post operative pain remains to be the most common challenge after any surgery. Pain management is now one of the most important components of ERAS. Patients undergoing lower abdominal surgeries like hernia repair although do not complain of much pain pre operatively, have considerable amounts of post operative pain. Regional/ peripheral blocks are increasingly gaining popularity due to their ease of administration and minimal side effects. Local wound infiltration although easy to administer has a limited period of pain relief and does not provide an adequate plane of analgesia. The newer technique of administering a TAP block is using ultrasound (USG) guidance provides better localization and deposition of local anaesthetic agent along with better anatomical vision improving accuracy rates. We conducted our study on 30 male patients between the age 20-60 years of age belonging to ASA class I or II posted for elective open inguinal hernia surgeries to compare the analgesic efficacy of an ultrasound guided transversus abdominis plane block to local wound infiltration for open hernia surgeries
Keywords: pain, hernia, analgesia, ERAS, transversus abdominis, ultrasound, vas score
Edition: Volume 8 Issue 11, November 2019,
Pages: 1107 - 1109