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Comparative Studies | Anaesthesiology | India | Volume 13 Issue 12, December 2024 | Popularity: 5.7 / 10

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A Comparison between Ultrasound Guided Quadratus Lumborum Block versus Transversus Abdominis Plane Block for Postoperative Analgesia in Inguinal Hernia Repair

Dr. Neelam Singh, Dr. Vaibhav Singh, Dr. Aman Ohri, Dr. Basava Rajeshwari U

Abstract: Background and Aims: Inguinal hernia repair is a common surgical procedure, but it is often accompanied by acute to chronic postoperative discomfort. Effective pain management has shown to improve the quality of post operative management. Newly discovered peripheral blocks such as Transversus Abdominis Plane (TAP) block and Quadratus Lumborum (QL) block have gained immense popularity as an adjunct to regional and general anaesthesia for postoperative pain management and reducing analgesic requirements. We aimed to compare the duration of analgesia in ultrasound guided unilateral transverse abdominis plane (TAP) block versus unilateral QL block in patients undergoing laparoscopic Inguinal hernia repair. Methods: After obtaining institutional ethical committee clearance and clearance from head of the department, the study was started.60 patients (ASA I and II) undergoing laparoscopic inguinal hernia repair were randomly divided into 2 groups of 30 each. After general anaesthesia, under ultrasound guidance GroupTAP patients received TAP block and GroupQL received QL block. Patients were monitored for Visual Analogue Scale (VAS) scores at 0, 15 minutes, 30 minutes, 1st, 2nd, 6th, 12th and 24th hour postoperatively, time for first analgesic requirement, and total analgesic requirement in 24 hours VAS score more than 3 received rescue analgesia. Result: Patients in group QL and group TAP had a mean duration of analgesia of 18.53 ? 2.596 hours and 7.83? 1.510 hours respectively, VAS for pain was significantly higher in Group TAP than QL at all times, p=0.0001, 16 patients (53.3%) from group QL and 24 patients (80%) from TAP, requested for rescue analgesia, the mean dose of tramadol consumed was 53.3 milligrams, 183.33 milligrams in Group QL & TAP. Conclusion: QL block provided longer postoperative analgesia, better VAS scores, with less opioids consumption compared with TAP block, in patients undergoing Inguinal hernia repair.

Keywords: Quadratus lumborum block, Transversus Abdominis Plane block, Post Operative Analgesia

Edition: Volume 13 Issue 12, December 2024

Pages: 465 - 468

DOI: https://www.doi.org/10.21275/SR241205181450

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